结肠镜检查过程中疼痛的危险因素分析

发布时间：2018-03-07 13:14

  本文选题：结肠镜　切入点：疼痛　出处：《南方医科大学学报》2017年04期 　论文类型：期刊论文

【摘要】：目的分析结肠镜检查过程中患者疼痛的危险因素,建立肠镜疼痛的预测模型,为肠镜检查前是否使用镇静麻醉药物提供理论参考。方法回顾性收集2016年6~9月在南方医科大学南方医院消化内镜中心283例结肠镜检查患者临床资料,并收集患者对肠镜的疼痛视觉模拟评分,进行单因素分析及Logistic回归分析,建立疼痛预测模型。结果患者疼痛视觉模拟评分≥5分时肠镜检查完成率明显降低(P0.000);单因素分析发现女性、有盆腹腔手术史、无肠镜检查史、术前有腹痛主诉、肠镜操作者经验少、自主估计疼痛程度高、低BMI指数与患者肠镜检查疼痛有关(P0.05);Logistic回归显示,BMI、肠镜操作者经验和自主估计疼痛程度3个变量进入预测模型(P0.05):P=eY/(1+eY),Y=0.049-0.124×X1-0.97×X2+1.713×A1+0.781×A2+0.147×A3,敏感性70.3%,特异性67.5%。结论自主估计疼痛程度高、肠镜操作者经验少以及低BMI指数是患者进行肠镜检查出现疼痛的独立危险因素,肠镜检查前评估肠镜疼痛危险因素可更好指导肠镜检查前镇静麻醉药物的使用。
[Abstract]:Objective to analyze the risk factors of pain in patients with colonoscopy, and to establish a predictive model of pain in colonoscopy. Methods the clinical data of 283 patients with colonoscopy in the Center of Digestive Endoscopy, Southern Hospital of Southern Medical University from 2016 to September were retrospectively collected. The visual analogue scores of pain were collected and analyzed by univariate analysis and Logistic regression analysis. Results the complete rate of endoscopy was significantly decreased when the visual analogue score of pain was 鈮，

本文编号：1579442