注水法内镜下黏膜切除术在大肠广基息肉患者中的运用效果及对患者焦虑情绪的影响  

Application Effect of Underwater Endoscopic Mucosal Resection in Patients with Large Sessile Colorectal Polyps and Its Influence on Patients’Anxiety

作　　者：官伟民 涂建军[2] 饶延军 GUAN Weimin;TU Jianjun;RAO Yanjun(The Third Department of Guangze County Hospital of Fujian Province,Guangze 354100,Fujian Province,China;Department of Gastroenterology,The First Hospital of Nanping of Fujian Province)

机构地区：[1]福建省光泽县医院内三科,福建南平354100 [2]福建省南平市第一医院消化内科

出　　处：《中国实用乡村医生杂志》2022年第11期51-55,共5页Chinese Practical Journal of Rural Doctor

摘　　要：目的观察注水法内镜下黏膜切除术在大肠广基息肉患者中的运用效果及对患者焦虑情绪的影响。方法选择2021年1月—2022年1月福建省光泽县医院收治的大肠广基息肉患者80例,按随机数字表法分为常规组和注水法内镜组各40例。常规组给予常规内镜黏膜切除术治疗,注水法内镜组给予注水法内镜下黏膜切除术治疗。记录两组患者手术时间、术后开放饮食时间、术后恢复时间和住院时间;记录两组严重出血、穿孔、病灶残留、便血等并发症发生情况;治疗前、后给予患者症状自评量表(SCL-90)、一般自我效能感量表(GSES)、医院焦虑抑郁量表(HADS)、胃肠道生活质量指数(GIQLI)评价。结果注水法内镜组患者手术时间、术后开放饮食时间、住院时间、术后恢复时间比常规组短(P<0.05);注水法内镜组并发症发生率比常规组并发症发生率低(P<0.05);注水法内镜组患者GSES评分比常规组高(P<0.05),注水法内镜组患者HADS、SCL-90、GIQLI评分均比常规组低(P<0.05)。结论给予大肠广基息肉患者注水法内镜下黏膜切除术治疗,可缩短手术时间、术后开放饮食时间、住院及术后恢复时间,减少并发症发生率,促进患者恢复,缓解患者焦虑、抑郁等负性情绪,提升患者自我效能感及生活质量。Objective To observe the effect of underwater endoscopic mucosal resection in patients with large sessile colorectal polyps and its influence on patients’anxiety.Methods A total of 80 patients with large sessile colorectal polyps admitted to Guangze County Hospital of Fujian Province from January 2021 to January 2022 were randomly divided into conventional group and underwater endoscopy group with 40 cases each.The conventional group was treated with conventional endoscopic mucosal resection,and the underwater endoscopic group was treated with underwater endoscopic mucosal resection.The operation time,postoperative open diet time,postoperative recovery time and hospital stay of the two groups were recorded.The occurrence of complications such as severe bleeding,perforation,residual lesions and bloody stool were recorded in both groups.Before and after treatment,the patients were evaluated by the Self-Symptom Rating Scale(SCL-90),General Self-efficacy Scale(GSES),Hospital Anxiety and Depression Scale(HADS),and Gastrointestinal Quality of Life Index(GIQLI).Results The operation time,postoperative open diet time,hospital stay time and postoperative recovery time in the underwater endoscope group were significantly shorter than those in the conventional group(P<0.05).The incidence of complications in the underwater endoscopy group was significantly lower than that in the conventional group(P<0.05).The GSES scores in the underwater endoscopy group were significantly higher than those in the conventional group(P<0.05),while the HADS,SCL-90 and GIQLI scores in the underwater endoscopy group were significantly lower than those in the conventional group(P<0.05).Conclusion Underwater Endoscopic mucosal resection in patients with large sessile colorectal polyps can shorten the operation,postoperative open diet,hospitalization and postoperative recovery time,reduce the incidence of complications,promote patient recovery,relieve patients’anxiety,depression and other negative emotions,and improve patients’sense of self-e

关 键 词：注水法内镜下黏膜切除术 大肠广基息肉 并发症 负性情绪 自我效能感 生活质量 

分 类 号：R574.6[医药卫生—消化系统]