注水式结肠镜在肠镜检查中的应用体会

发布时间：2018-02-03 11:52

本文关键词： 水置换单纯注水注气式　出处：《中国内镜杂志》2015年12期 　论文类型：期刊论文

【摘要】：目的该研究主要通过对注水式结肠镜与传统注气式结肠镜在肠镜检查中的对比研究,探讨注水式结肠镜的应用体会。方法通过纳入该院内镜中心2014年10月-2015年4月肠镜检查患者,随机分为水置换组、单纯注水组和空气组,主要观察指标为患者腹痛程度及需要麻醉的比例,次要观察指标为盲肠插管成功率、进镜时间、息肉检出率。结果 1共入组肠镜检查者442例,其中水置换组145例,单纯注水组147例,空气组150例,组间一般临床资料差异无统计学意义(P0.05);2水置换组、单纯注水组腹痛评分及麻醉需求比例均明显低于空气组,差异有统计学意义(P0.05),两组间差异无统计学意义(P0.05);3水置换组、单纯注水组进镜时间、总时间明显高于空气组,肠镜辅助操作明显低于空气组,差异均有统计学意义(P0.05),3组间Boston评分、插管成功率和息肉检出率等差异无统计学意义(P0.05);4肠镜操作方法是影响患者麻醉需求的独立相关危险因素(P0.05)。结论注水肠镜可在不影响插管成功率与息肉检出率的同时,能减少患者腹痛,降低麻醉需求,值得临床推广应用。
[Abstract]:Objective to compare the colonoscopy with water injection colonoscopy and traditional colonoscopy. Methods from October 2014 to April 2015, the patients were randomly divided into water replacement group, water injection group and air group. The main outcome measures were the degree of abdominal pain and the proportion of anesthesia needed, and the secondary indexes were the success rate of caecum intubation, the time of endoscopy and the detection rate of polyps. There were 145 cases in the water replacement group, 147 cases in the water injection group and 150 cases in the air group. There was no significant difference in general clinical data between the two groups (P 0.05). 2in the water replacement group, the abdominal pain score and the proportion of anesthesia demand in the pure water injection group were significantly lower than those in the air group, the difference was statistically significant (P 0.05), and there was no significant difference between the two groups (P 0.05). 3 in the water replacement group, the total time and the total time of the injection group were significantly higher than those of the air group, and the assisted operation of colonoscopy was significantly lower than that of the air group, and the difference was statistically significant (P 0.05). There was no significant difference in the success rate of intubation and the detection rate of polyps (P 0.05). 4 colonoscopy is an independent risk factor affecting the anesthetic demand of patients (P 0.05). Conclusion injection colonoscopy can reduce abdominal pain without affecting the success rate of intubation and the detection rate of polyps. Reducing the demand of anesthesia is worth popularizing in clinic.
【作者单位】：广东省东莞市人民医院消化内科;
【基金】：广东省东莞市科技计划一般项目(No:2014105101183;No:20151051500062)
【分类号】：R574
【正文快照】： 肠镜检查日益广泛,普通肠镜因造成腹痛、腹胀等不适往往引起患者的恐惧。麻醉肠镜可提供舒适的医疗服务,但麻醉产生的费用和风险同时增加了医疗资源的压力,我国人口基数庞大,医疗资源有限,相比国外这点更为突出。近年来在肠镜检查中出现了以二氧化碳、水替代空气的新方法[1-3]

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