结肠镜检查不同操作法的临床应用与评价

发布时间：2018-05-03 08:36

本文选题：结肠镜 + 单人操作法　；参考：《中国内镜杂志》2015年02期

【摘要】：目的评价结肠镜检查不同操作法的有效性及安全性。方法对开滦总医院2011年8月-2014年5月结肠镜检查2 810例患者分别应用单人操作法(A组)1 015例、单双人结合操作法(B组)959例与双人操作法(C组)836例进行检查,对3种不同操作法检查成功率、进镜深度、进镜时间及患者腹痛程度进行临床评价。结果到达回盲部成功率及进镜时间3组差异无显著性(P0.05)。A组及B组进镜深度短于C组(P0.01),B组与A组比较差异无显著性(P0.05)。A组及B组在检查中的腹痛程度视觉模拟评分(VAS)评分明显优于C组(P0.01)。3组患者均未出现严重并发症。结论 A组、B组比C组易保持直线化,从而达到减少患者痛苦。提示单双人结合操作法与单人操作法一样也是一种有效、安全的操作方法,且可减少检查医师体力消耗。
[Abstract]:Objective to evaluate the efficacy and safety of different colonoscopy methods. Methods from August 2011 to May 2014, 2 810 patients underwent colonoscopy in Kailuan General Hospital. 1015 patients in group A, 959 patients in group B and 836 patients in group C were treated with single and double operation respectively. The success rate, depth, time and degree of abdominal pain were evaluated. Results there was no significant difference in the success rate of ileocecal access and the time of endoscopy in group A and group B in comparison with group C (P 0.01). There was no significant difference in visual analogue score of abdominal pain in group A and group B between group A and group A (P 0.05). The visual analogue score of abdominal pain in group B (group B) was higher than that in group B (P 0.05). The score was significantly better than that in group C (P 0.01). Conclusion it is easier to keep straightness in group A than in group C, so as to reduce the pain of patients. It is suggested that single and double combined operation is an effective and safe method as well as single person operation, and it can reduce physical exertion of examiners.
【作者单位】：河北联合大学附属开滦总医院消化内科;河北联合大学附属开滦总医院腔镜诊疗部;
【分类号】：R574.62

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