温水灌注对困难结肠镜检查成功率及腹痛评分的影响  

Warm water infusion increases cecal intubation rate in difficult colonoscopy: a randomized controlled trial

作　　者：苏军凯[1] 张鸣青[1] 王爱民[1] 刘将[1] 张帅[1] 张华玉[1] 李仙丽[1] 吕新芝[1] 

机构地区：[1]解放军第175医院(厦门大学附属东南医院)消化内科,南京军区消化内镜中心,福建漳州363000

出　　处：《第三军医大学学报》2012年第22期2311-2313,共3页Journal of Third Military Medical University

基　　金：南京军区医学科技创新项目(09MA068)~~

摘　　要：目的探讨温水灌注在困难结肠镜检查中的应用价值。方法结肠镜初学者初次检查不能成功到达回盲部的门诊患者134例,定义为困难结肠镜,随机分为注水组和注气组。注水组采用活检孔道灌注温水法获得肠腔视野,注气组采用传统注气法获得肠腔视野,由教员再次结肠检查。比较两组结肠镜检查成功率及患者腹痛评分等差异。结果注水组与注气组之间,年龄、性别组成、腹部手术史、便秘以及BMI均无显著性差异(P>0.05)。注水组结肠镜到达回盲部成功率为94.03%(63/67),明显高于注气组的79.10%(53/67)(P=0.021)。注水组患者腹痛评分为(3.33±1.60)分,明显低于注气组(4.74±1.74)分(P=0.000)。结论温水灌注是一种有效提高困难结肠镜检查成功率、减少患者腹痛程度的方法。Objective To determine the effect of warm water infusion instead of air insufflation on unsedated difficult colonoscopy.Methods One hundred and thirty-four outpatients with difficult colonoscopy that was defined as cecal intubation failure by trainees were randomly divided into a warm water infusion group（water group） and a traditional air insufflation group（gas group）.The cecal intubation rate and abdominal pain scores were compared between the water group and the gas group.Results There was no significant difference in the age,sex,abdominal surgery history,constipation and body mass index（BMI） between the water group and the gas group.The cecal intubation rate of the water group（94.03%,63/67） was significantly higher than that of the gas group（79.10%,53/67）（P=0.021）.The abdominal pain score of the water group（3.33±1.60） was significantly lower than that of the gas group（4.74±1.74,P=0.000）.Conclusion Warm water infusion instead of air insufflation can improve the cecal intubation rate and reduce the abdominal pain during unsedated difficult colonoscopy.

关 键 词：困难结肠镜 温水灌注 回盲部到达率 腹痛评分 

分 类 号：R443[医药卫生—诊断学] R574.62[医药卫生—临床医学]