三种进镜法在肠镜检查中的应用价值

发布时间：2018-02-13 16:01

本文关键词： 结肠镜检查水置换法腹痛评分息肉检出率插镜成功率　出处：《广东医学》2017年08期 　论文类型：期刊论文

【摘要】：目的研究3种不同进镜法在结肠镜检查中的应用价值。方法行结肠镜检查的患者中选取390例,随机分为单纯注水组(注水组)、水置换组和传统注气组(注气组),比较其通过乙状结肠的时间、腹痛评分、息肉检出率、腹部按压和体位变化的发生率,以及改为临时麻醉的发生率和麻醉各相关参数。结果注水组和水置换组插镜成功率显著高于注气组,通过乙状结肠所用时间、改为临时麻醉的发生率、按压腹部和体位变换的发生率低于注气组,水置换组息肉检出率显著高于注水组和注气组,差异均有统计学意义(P0.05)。而3组在临时麻醉所用时间和麻醉药物用量方面比较差异无统计学意义(P0.05)。结论注水结肠镜检查不仅安全、设备简单、价格低廉,还可以提高结肠镜检查的插镜成功率,减轻腹痛,优于传统的单人注气结肠镜检查,尤其是水置换法可以大大提高息肉检出率,可以广泛应用于临床,为患者提供舒适、安全的结肠镜检查方法。
[Abstract]:Objective to study the application value of three different endoscopy methods in colonoscopy. They were randomly divided into water injection group (water injection group), water replacement group (water replacement group) and traditional gas injection group (gas injection group). The time of passing sigmoid colon, abdominal pain score, detection rate of polyps, incidence of abdominal compression and body position change were compared. Results the success rate of the injection group and the water replacement group was significantly higher than that of the gas injection group, and the time taken through sigmoid colon was changed to the incidence of temporary anesthesia. The incidence of pressure and posture shift was lower than that of gas injection group, and the detection rate of polyps in water replacement group was significantly higher than that in water injection group and gas injection group. The difference was statistically significant (P 0.05), but there was no significant difference in the time used in temporary anesthesia and the dosage of narcotic drugs in the three groups. Conclusion the colonoscopy with water injection is not only safe, simple and inexpensive, but also has no significant difference in the use of temporary anesthesia and the dosage of anesthetic drugs. It can also improve the success rate of colonoscopy, reduce abdominal pain, and is superior to the traditional single gas injection colonoscopy, especially the water replacement method can greatly improve the detection rate of polyps, can be widely used in clinical, and provide comfort for patients. Safe colonoscopy.
【作者单位】：延安大学附属医院消化内科;延安大学附属医院麻醉科;
【分类号】：R574

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