单人肠镜操作法结合咪唑安定在儿童肠镜检查中的应用价值  

The Value of One-person Operation Colonoscopy in Combination with Midazolam in Pediatric Colonoscopy

作　　者：罗文雄[1] 翁陈华[1] 林忠亮[1] 郑永平[1] 林明祥[1] 

机构地区：[1]广东省汕头市中心医院,广东汕头515031

出　　处：《河北医学》2010年第11期1287-1289,共3页Hebei Medicine

摘　　要：目的:了解在应用咪唑安定镇静的基础上进行单人肠镜操作能否增加小儿肠镜检查的成功率,以期推广大肠镜在小儿大肠疾病诊断治疗的应用。方法:21例10至14岁患儿,14例在咪唑安定镇静基础上行单人大肠镜检查,7例直接进行单人大肠镜检查。比较两组检查成功率,同时监测镇静药对患儿呼吸循环系统的影响。结果:药物组14例皆顺利完成检查;非药物组7例仅4例完成检查,失败的3例转用咪唑安定镇静后成功完成检查。结论:应用咪唑安定的基础上对小儿进行单人肠镜操作具有较高的成功率,可临床推广,使大肠镜在在小儿大肠疾病的诊断治疗中发挥更大的价值。Objective： To study whether the midazolam sedation can improve the success rate of one-person operation colonoscopy in children,with a view to promote the application of colonoscopy for the diagnosis and treatment of colorectal diseases in children.Method： Of totally 21 children,14 children received one-person operation colonoscopy on the basis of midazolam sedation,the other 7 cases received one-person operation colonoscopy without midazolam.The success rate of the two groups was compared.The effect of midazolam on children’s circulation and respiratory system was also monitored.Result： All of the 14 children of midazolam group completed the colonoscopy easly,while for the non-pharmacological group,only 4 of the 7 children completed the examination,the other 3 children switched to the sedation group and finally finished the colonoscopy successfully.Conclusion： The application of midazolam sedation can improve the success rate of one-person operation colonoscopy in children,and deserves a clinical popularization.

关 键 词：大肠镜 单人操作法 咪唑安定 小儿 

分 类 号：R725.7[医药卫生—儿科]