注水法在结肠镜检查中的应用价值  

Clinical value of water infusion during the colonoscopy examination

作　　者：张荣[1] 田叶红[1] 张利云[1] 郑百战 孙英[1] 董世光[1] 刘震雄[2] 

机构地区：[1]延安大学咸阳医院消化内科,咸阳712000 [2]第四军医大学唐都医院消化内科

出　　处：《山西医科大学学报》2016年第1期71-74,共4页Journal of Shanxi Medical University

基　　金：延安大学咸阳医院专项科研基金资助项目(2015yadxxyyy29)

摘　　要：目的探讨使用注水法进行结肠镜检查的临床效果及安全性。方法选取2014—01—2015—01我院非麻醉结肠镜检查的患者300例，随机分为注水法结肠镜检查组（注水组）和传统注气法结肠镜检查组（注气组），比较两组患者进镜成功率（达盲率）、进镜时间、退镜时间、腹痛评分以及满意率方面的差异。结果注水组与注气组间进镜成功率（达盲率）、进镜时间、退镜时间均无明显差异；注水组疼痛评分显著低于注气组疼痛评分（3．59±0．99vs6．05±1．58，P〈0．01），同时注水组的满意率也显著高于注气组（87．3％郴39．3％，P〈0．01）。结论肠镜检查中应用注水法进行操作可明显减轻患者在检查中的疼痛不适感，进而提高患者再次检查意愿，对顺利完成患者的结肠镜检查及随访复查有切实可行的临床应用价值。Objective To evaluate the clinical effect of water infusion in colonoscopy examination. Methods Three hundred patients undergoing non-anesthesia colonoscopy examination from January 2014 to January 2015 were randomly divided into water infusion colonoscopy group（water group） and traditional air insuflation colonoscopy group（gas group）. The cecal intubation rate, cecal intubation time, withdrawal time of colonoscope, abdominal pain score and satisfaction rate were compared between the two groups. Results The cecal intubation rate, cecal intubation time and withdrawal time of colonoscope were not significantly different between the two groups. However, the abdominal pain score was significantly lower in water group than in air group（3.59±0.99 vs 6.05±1.58, P 〈0.01 ）. Furthermore, the satisfaction rate was significantly higher in water group than in gas group （ 87.3 % vs 39.3 %, P 〈 0.01 ）. Conclusion Water infusion colonoscopy can obviously relieve discomfort of the patients during the operation and increase the will of patients to colonoscopy examination once again. Water infusion colonoscopy has clinical application value in the completion of colonoscopy and follow-up colonoscopy of patients.

关 键 词：注水结肠镜 盲肠到达率 腹痛 满意率 

分 类 号：R574.6[医药卫生—消化系统]