无痛小肠镜与普通小肠镜检查的临床对比研究  

Clinical Comparative Study of Painless Enteroscopy and Ordinary Enteroscopy

作　　者：刘聪[1] LIU Cong(Department of Gastroenterology,Jilin Provincial People's Hospital,Changchun,Jilin Province,130021 China)

机构地区：[1]吉林省人民医院消化科,吉林长春130021

出　　处：《世界复合医学》2021年第2期21-24,共4页World Journal of Complex Medicine

基　　金：无痛小肠镜与普通小肠镜检查的临床对比研究(2015ZC029)。

摘　　要：目的探讨无痛小肠镜与普通小肠镜检查的临床效果,以便为临床检查提供参考。方法选择该院2019年2月—2020年2月收治的小肠镜检查患者400例进行调查研究,纳入对象自愿配合研究,分为无痛小肠镜检查患者(观察组)与普通小肠镜检查患者(对照组),每组200例。比较两组疾病检出率、检查舒适度与满意度、内镜插入回盲部时间、并发症,以及检查前、检查中、检查后心率、血压、血氧饱和度等情况。结果观察组疾病检出率与对照组比较差异无统计学意义(P>0.05),但观察组检查舒适度评分[(97.89±0.94)分vs(94.17±2.01)]分,与满意度评分[(98.49±0.43)分vs(94.58±2.31)分],明显更高,差异有统计学意义(t=3.298、3.338,P<0.05),内镜插入回盲部时间[(6.12±0.85)min vs(13.10±1.54)min]更短,并发症率(0.50%vs 7.00%)更低,与对照组比较差异有统计学意义(t=7.697,χ^(2)=6.539,P<0.05);两组检查前、检查中、检查后心率、SBP、DBP及血氧饱和度比较差异无统计学意义(P>0.05)。结论无痛小肠镜与普通小肠镜检查疾病均有良好的检出率,而且二者在检查期间对血压、心率、血氧饱和度等影响较小,但是无痛小肠镜检查可明显减少并发症发生,缩短内镜插入回盲部时间,提高检查舒适度与满意度,患者更乐于接受,值得应用。Objective To explore the clinical effects of painless enteroscopy and ordinary enteroscopy in order to provide reference for clinical examination.Methods 400 cases of enteroscopy patients admitted to the hospital from February 2019 to February 2020 were selected for investigation and research.Subjects were included in the voluntary cooperation study,and they were divided into painless enteroscopy patients(observation group)and ordinary enteroscopy patients(control group),200 cases in each group.The disease detection rate,inspection comfort and satisfaction,endoscopic insertion time to the ileocecal area,complications,and heart rate,blood pressure,blood oxygen saturation before,during and after the examination were compared between the two groups.Results There was not statistically significant difference in the disease detection rate between the observation group and the control group(P>0.05),but the observation group had a comfort score[(97.89±0.94)points vs(94.17±2.01)points],and a satisfaction score[(98.49±0.43)points vs(94.58±2.31)points]were significantly higher,the difference was statistically significant(t=3.298,3.338,P<0.05),the insertion time of the endoscope into the ileocecal area[(6.12±0.85)min vs(13.10±1.54)min]was shorter,and the complication rate(0.50%vs 7.00%)was lower,and the difference was statistically significant compared with the control group(t=7.697,χ^(2)=6.539,P<0.05);there was not statistically significant difference comparison of heart rate,SBP,DBP,and blood oxygen saturation between the two groups before,during and after the examination(P>0.05),although there were certain changes,still in the controllable range.Conclusion Painless enteroscopy and ordinary enteroscopy have a good detection rate,and both have little effect on blood pressure,heart rate,blood oxygen saturation,etc.during the examination,but painless enteroscopy can significantly reduce complications,shorten the time for inserting the endoscope into the ileocecal area,improve the comfort and satisfaction of the examina

关 键 词：小肠镜检查 无痛 异丙酚+芬太尼 舒适度 

分 类 号：R4[医药卫生—临床医学]