改良注水单人结肠镜检查术的临床应用  

Clinical application of modified water infusion single colonoscopy

作　　者：李锐强 袁帅 沈洁 

机构地区：[1]南方医科大学附属小榄医院消化科,广东中山528415

出　　处：《中国内镜杂志》2018年第2期48-51,共4页China Journal of Endoscopy

摘　　要：目的探讨改良注水单人结肠镜检查术的临床应用效果。方法随机选择2016年6月-2017年6月在该院接受单人结肠镜检查的70例患者作为研究对象,将患者按照随机数字表法分为研究组和对照组,每组各35人。研究组采用改良注水单人结肠镜检查法,对照组采用注气单人结肠镜检查法。记录两组进镜达回盲部成功率、平均到达回盲部时间和并发症发生率;以视觉模拟量评分法(VAS)评估两组患者的腹痛和腹胀程度。结果两组患者进镜达回盲部成功率和并发症发生率无明显差异(P>0.05)。研究组平均达回盲部时间较对照组减少[(4.86±1.66)vs(6.45±2.34)min,P<0.05]。研究组腹痛VAS评分明显低于对照组[(2.71±1.05)vs(3.31±1.13)分,P<0.05],研究组腹胀VAS评分明显低于对照组[(3.31±1.05)vs(3.97±1.10)分,P<0.05]。结论改良注水单人结肠镜检查术可有效提高患者的舒适度,是一种快速、安全的结肠镜检查技术。Objective To evaluate the clinical effect of modified water infusion single colonoscopy. Methods Seventy patients underwent single colonoscopy from June 2016 to June 2017 were selected and randomly divided （by means of random number table） into study group （n = 35） and control group （n = 35）. The study group was given modified water infusion single colonoscopy, and the control group was given air insufflation single colonoscopy. The success rate of ileocecal inserted, times of cecal intubation and complications rates were recorded; Visual analogue scale （VAS） was used to assess the severity of abdominal pain and abdominal bloating. Results The success rate of ileocecal inserted and complications rates were not signifcantly different between the two groups （P 〉 0.05）. Times of cecal intubation of study group （4.86 ± 1.66） min was signifcantly shorter than that of the control group （6.45 ± 2.34） min （P 〈 0.05）. The mean abdominal pain score of study group was signifcantly lower than that of control group [（2.71 ± 1.05） vs （3.31 ± 1.13）, P 〈 0.05]. The mean abdominal bloating score of study group was signifcantly lower than that of control group [（3.31 ± 1.05） vs （3.97 ± 1.10）, P 〈 0.05]. Conclusion Modifed water infusion colonoscopy is rapid and security, which can effectively improve the comfortableness of patients.

关 键 词：单人结肠镜检查术 改良注水单人结肠镜术 临床效果 

分 类 号：R574.62[医药卫生—消化系统]