透明帽辅助结肠镜单人操作在老年患者检查中的临床应用  

Application of Colonoscopy Combined with Transparent Hood in Examination of Elderly Patients

作　　者：李明阳[1] 王志强[1] 张子其[1] 陈孝[1] 刘婧[1] 付永和[1] 

机构地区：[1]解放军总医院南楼消化内镜诊疗科,北京100853

出　　处：《现代生物医学进展》2010年第23期4504-4506,4519,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨透明帽辅助结肠镜单人操作在老年患者检查中的临床应用。方法:对2009年8月至12月来我院消化内镜中心进行检查的408例年龄大于60岁的患者,随机分成A组(204例)和B组(204例),全部检查均在非麻醉状态下操作。A组予以透明帽辅助结肠镜检查,B组行常规结肠镜检查。对两种方法的成功率、平均插镜时间、平均疼痛评分、息肉检出率等指标进行比较,针对性别、年龄、腹部或盆腔手术史、长期便秘、肠道憩室等指标分析插镜时间的影响因素。结果:A组和B组结肠镜检查的成功率分别为99.1%和98.5%。平均插镜时间分别为6.4 min和10.8 min(P<0.05)。平均疼痛分数分别为5.8分和5.1分。息肉检出率分别为70.6%和49.5%(P<0.05)。全部检查无并发症发生。在插镜时间的影响因素中,女性、年龄>80岁、腹部或盆腔手术史、长期便秘等因素有显著差异(P<0.05)。结论:透明帽辅助结肠镜单人操作对于老年患者是一种安全、插镜时间较短、息肉检出率较高的检查方法,年龄超过80岁的老年女性、有腹部或盆腔手术史、长期便秘是导致插镜时间延长的相关因素。Objective：To clinically evaluate the method of attaching a transparent hood to the tip of the colonoscope in the Exami-nations for the elderly.Method：Totally 408 patients aged more than 60 were selected from all the patients that took examinations in Center of GI Endoscopy,PLA General Hospital between September and December in 2009.The chosen patients were divided randomly into 2 groups（204 patients each） and subject the patients in group A to transparent hood colonoscopy and B to regular colonoscopy.The two methods were compared by success rate,cecal intubation time,the rate of cecal intubation more than 15 min and polyp detection rate,and the influence factors analyzed by gender,history of abdominal operation,BMI and diverticulosis.Result：The success rate of colono-scope of group A and B are 99.1% and 98.5% accordingly;the average cecal intubation time are 6.4 min and 10.8 min（P0.05）;the average pain score are 5.8 and 5.1;and the polyp detection rate are 70.6% and 49.5%（P0.05）.No complication is observed.In all the influence factors of cecal intubation time,there are significant differences regarding to gender,age and history of abdominal operations（P0.05）.Conclusion：The transparent hood colonoscope is an examination with safety,short cecal intubation time and high polyp detection rate while age,gender and history of abdominal operation are main factors that might result in longer cecal intubation time.

关 键 词：结肠镜 老年患者 临床应用 检查 透明帽 

分 类 号：R574.62[医药卫生—消化系统]