— 健康促進與維護 · MEDIUM · MCQ —
一位 45 歲女性準備接受篩檢性大腸鏡檢查。關於檢查前準備，下列建議何者正確？
A 45-year-old female client is scheduled for a screening colonoscopy. What is the appropriate preparation advice for this procedure?
- ADiscontinue all medications including blood pressure pills停止所有藥物，包括降血壓藥
- BReport to the clinic without any bowel preparation未進行任何腸道準備就報到
- CFollow a clear liquid diet for 24 hours prior to the procedure✓ 正解在檢查前 24 小時遵循清流質飲食
- DConsume only solid food to maintain energy levels僅攝取固體食物以維持體力
— Explanation · 中文詳解 —
大腸鏡檢查需要徹底清潔腸道。檢查前一天的清流質飲食配合腸道沖洗劑是標準流程。若有服用降血壓藥通常可在檢查當天少量水服用，而非自行停藥。固體食物會影響腸道清潔度導致影像不清晰。完全不準備會導致檢查無法進行。
Proper preparation for a screening colonoscopy involves following a clear liquid diet for 24 hours prior to the procedure to ensure the bowel is adequately emptied for visualization. Patients should continue essential medications, such as blood pressure pills, with a small sip of water unless instructed otherwise. Solid foods must be avoided as they obscure the view, and skipping bowel preparation would render the examination ineffective.
✦ 台美臨床差異
美台兩地腸鏡準備流程相似，差異在於美國對檢查前一天清流質的執行嚴格度與衛教素材豐富度。