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Hiệu quả, dung nạp và tuân thủ phác đồ lactulose trong làm sạch đại tràng trước nội soi không can thiệp đốt điện: trên 40 trẻ tại Bệnh viện Nhi Trung ương

Bài viết trình bày nhận xét hiệu quả, dung nạp và tuân thủ phác đồ lactulose trong làm sạch đại tràng trước nội soi không can thiệp đốt điện ở trẻ em tại Bệnh viện Nhi Trung ương. Phác đồ chuẩn bị đại tràng dành cho nội soi không can thiệp đốt điện, sử dụng dung dịch lactulose đạt hiệu quả LSĐT cao với khả năng dung nạp và tuân thủ tốt ở trẻ em. | Journal of Pediatric Research and Practice Vol. 5 No. 6 2021 1-10 Research Paper The Efficacy Tolerance and Acceptance of Lactulose Regimen in Bowel Preparation for Colonoscopy without an Electrical Intervention in Children at Vietnam National Children s Hospital Phan Thi Hien Nguyen Thi Minh Nguyet Luong Thi Hong Tham Luc Thi Thu Quynh Duong Quang Duc Le Thi Thanh Hai Nguyen Kim Thanh Nguyen Huy Phu Vietnam National Children s Hospital 18 879 La Thanh Dong Da Hanoi Vietnam Received 15 September 2021 Revised 25 October 2021 Accepted 03 November 2021 Abstract Objectives To assess the efficacy tolerance and acceptance of lactulose regimen in bowel preparation for colonoscopy without an electrical intervention in children at Vietnam National Children s Hospital. Subjects and methods A pre-experimental research design was applied. Research variables were collected from all children aged 0-18 years old with colonoscopy indications without an electrical intervention patients used lactulose fluid and the enema including glycerol phosphate for bowel preparation. They have done colonoscopy at the endoscopy department the centre for gastroenterology hepatology and nutrition Vietnam National Children s Hospital during October 2020. A structured questionnaire was designed to collect information from parents or children s protectors via an interview. Results Boston score of the whole colon was 8 1 1 2 points 72.5 children with excellent boston scores 22.5 children with good boston scores only 5.0 cases had poor boston scores 03 cases only used lactulose fluid without an enema. The percentage of children with mild adverse events after completion of colonic preparation by using lactulose regimen including nausea vomiting 25 abdominal pain 17.5 . An average volume of lactulose fluid consumed was 101 9 36 3 ml which was not significantly lower compared with the needed volume of lactulose regimen. The rate of children consuming lactulose fluid in an easy way 85 was dramatically .