注水与注气在结肠镜进镜过程中的随机对照研究  

Water infusion versus air insufflation during the insertion phase of unsedated colonoscopy： a singlecenter single blind randomized controlled trial

作　　者：黄贺[1] 施宏[1] 陈素玉[1] 谢招飞[1] 

机构地区：[1]福建省肿瘤医院福建医科大学附属肿瘤医院内镜科,福州350014

出　　处：《中华消化内镜杂志》2017年第3期186-189,共4页Chinese Journal of Digestive Endoscopy

基　　金：面向农村和城市社区推广适宜技术项目

摘　　要：目的比较注水进镜与空气注气进镜在肠镜操作中对受检者耐受性的影响。方法单中心单盲随机对照临床研究。受检者随机分入3组：空气注气进镜组，单纯注水进镜组，注水注气结合进镜组。观察指标：进镜时间、全结肠检查率、腺瘤检出率、体位变换率、腹壁按压率、术中术后腹痛腹胀评分。结果入组病例共计180例，每组60例。单纯注水进镜以及注水注气结合进镜与空气注气进镜相比，进镜时间更长，较少腹壁按压与体位变化，术中腹痛腹胀较轻。3组在全结肠检查率、腺瘤检出率、术后腹痛腹胀程度并无差异。结论注水进镜能够显著缓解受检者术中腹痛腹胀不适，且不影响全结肠检查率、腺瘤检出率。Objective To compare effects of warm water infusion and air insufflation on patient tolerance and satisfaction during the insertion phase of unsedated colonoscopy. Methods In a single-center, prospective, single blind randomized trial, patients were randomly assigned to three groups （water infusion group, air insuffiation group, or hybrid method group） during the insertion phase of colonoscopy. Main outcome measurements included insertion time, cecal intubation rate, adenoma detection rate, the rate of position change, the rate of abdominal compression, intraoperative pain and distension VAS scores, postoperative pain and distension VAS scores. Results A total of 180 cases were enrolled, 60 in each group. Patients in water infusion group and hybrid method group required less abdominal compression or position change, longer insertion time, reported lower intraoperative pain and distension VAS scores than air insufflation group during the insertion phase of colonoscopy. There were no significant differences in cecal intubation rates, adenoma detection rates, postoperative pain and distension or VAS scores among three groups. Conclusion Water infusion significantly decreases patient abdominal pain and distension during the insertion phase of colonoscopy without affecting cecal intubation rate and adenoma detection rate.

关 键 词：结肠镜检查 自身耐受性 空气注气 注水 

分 类 号：R574.62[医药卫生—消化系统]