温水灌注提高初学者结肠镜检查成功率的应用研究  

The Study of Warm Water Consumption to Increase the Successful Cecal Intubation Rate in Colonoscopy in Primary Trainees

作　　者：苏军凯[1,2] 张鸣青[1,2] 张荔群[1,2] 王爱民[1,2] 刘将[1,2] 张帅[1,2] 马桂芳[1,2] 

机构地区：[1]中国人民解放军第一七五医院 [2]厦门大学附属东南医院消化内科南京军区消化内镜中心,漳州363000

出　　处：《临床消化病杂志》2013年第1期27-28,38,共3页Chinese Journal of Clinical Gastroenterology

基　　金：南京军区医学科技创新经费资助项目(09MA068)

摘　　要：目的对初学者结肠镜检查中采用灌注温水,代替传统注气法,观察对结肠镜检查成功率的影响。方法非麻醉结肠镜检查的门诊患者,随机分为灌注温水法(注水组)和传统注气法(注气组),比较初学者半年内两种方法的结肠镜检查成功率和学习曲线。结果初学者第2个月内,注水组10 min内结肠镜到达回盲部成功率为60.4%,明显高于注气组的37.0%(P=0.020)。半年内,注水组所有结肠镜检查的成功率为61.5%,明显高于注气组52.9%(P=0.014)。结论注水法可提高初学者结肠镜检查的成功率,是一项改善初学者结肠镜检查学习曲线的简便、有效方法。Objective To confirm the effect of warm-water infusion replating air insufflation during unsedated colonoscopy by trainees on the incidence of cecal intubation rate.Methods Unsedated colonoscopy were randomly assigned to the group of warm-water infusion（water group）and traditional air insuffiation group（gas group）.The cecal intubation rate and learning curve in half year were compared between water group and gas group.Results In the second month,the cecal intubation rate within 10 min of water group was 60.4%,which was significantly higher than 37.0% in gas group（P=0.020）.If included all cases of half year during training,the cecal intubation rate of water group was 61.5%,which was significantly higher than 52.9% in gas group（P=0.014）.Conclusion Warm-water infusion repleting air insufflation could increase the cecal intubation rate during unsedated colonoscopy by trainees.Warm-water infusion is an inexpensive and effective method to improve the learning curve of colonoscopy by trainee.

关 键 词：结肠镜 温水灌注 回盲部到达率 

分 类 号：R574.62[医药卫生—消化系统]