透明帽辅助结肠镜检查的临床研究  

Clinical Research of Colonoscopy Combined with Transparent Cap

作　　者：江泳[1] 周磊[1] 张群超[1] 王小璇[1] 张旭[1] 田均 

机构地区：[1]安徽省蚌埠市第三人民医院消化内科,安徽蚌埠233000 [2]安徽省怀远县中医院,安徽蚌埠233000

出　　处：《河北医学》2017年第10期1702-1705,共4页Hebei Medicine

基　　金：安徽省卫生计生委中医药科研课题;(编号:2016ZY58)

摘　　要：目的:探讨透明帽辅助结肠镜检查在临床中的应用价值。方法:对2016年1月至2016年11月我院消化内镜中心接受结肠检查的患者共248例,随机分为观察组(124例),对照组(124例),观察组以透明帽法辅助结肠镜检查,对照组以常规方法检查,全部患者均在非麻醉状态下由同一名消化内镜医师操作。对两种方法的成功率、插镜时间、疼痛评分、息肉检出率等指标进行比较;针对性别、年龄、腹盆腔手术史、慢性便秘等指标分析插镜时间的影响因素。结果:观察组与对照组的成功率分别为96.77%和89.52%,插镜时间分别为(436.19±184.10)s和(569.57±217.15)s,息肉检出率分别为42.74%和28.23%,疼痛评分分别为(4.06±1.84)分和(5.89±2.12)分,两组比较差异具有统计学意义(P<0.05),两组患者均无并发症发生。在插镜时间的影响因素中,女性、年龄≥70岁、腹盆腔手术史、慢性便秘等因素差异有统计学意义(P<0.05)。结论:透明帽辅助结肠镜检查是一种成功率高、插镜时间短、息肉检出率高、患者痛苦小的检查方法,女性、年龄超过70岁、腹盆腔手术史、慢性便秘是导致插镜时间延长的相关因素。Objective： To investigate the value of colonoscopy combined with transparent cap. Methods：Totally 248 patients were selected from all the patients that took examinations in center of GI endoscopy between January and November in 2016. The chosen patients were divided randomly into the observation group（ 124 cases） and the control group（ 124 cases）. The patients in the observation group were administrated transparent cap colonoscopy and those in the control group were administrated conventional colonoscopy. All patients were operated in non anesthetic state by one digestive endoscopic doctor. The two methods were compared by success rate,cecal intubation time,Numeric Rating Scale（ NRS） and polyp detection rate. The influence factors of cecal intubation time were analyzed by gender,age,history of abdominal operation and chronic constipation. Results： The success rate of colonoscope of observation group and control group were 96.77%and 89.52%; cecal intubation time were（ 436.19±184.10） seconds and（ 569.57±217.15） seconds; the polyp detection rate were 42.74% and 28.23%,and the NRS were（ 4.06 ± 1.84） and（ 5.89 ± 2.12）,respectively.There was significant difference between the two groups（ P〈 0. 05）. No complication was observed in all patients. In all the influence factors of cecal intubation time,there were significant differences regarding to gender,age,history of abdominal operation and chronic constipation（ P 〈0. 05）. Conclusion： The colonoscopy combined with transparent cap is an examination with high success rate,short cecal intubation time,high polyp detection rate and less pain of patients while gender,age,history of abdominal operation and chronic constipation are main factors that might result in longer cecal intubation time.

关 键 词：结肠镜 透明帽 检查 临床研究 

分 类 号：R574.62[医药卫生—消化系统]