腹带在困难结肠镜检查中的临床应用研究  

Clinical application of abdominal belts in difficult colonoscopy

作　　者：于广秋 朱建伟 孙琳 徐雨东 唐文[1] 周维霞[1] Yu Guangqiu;Zhu Jianwei;Sun Lin;Xu Yudong;Tang Wen;Zhou Weixia(Department of Gastroenterology,The Second Affiliated Hospital of Soochow University,Suzhou 215004,China)

机构地区：[1]苏州大学附属第二医院消化内科,苏州215004

出　　处：《中华消化内镜杂志》2024年第6期487-491,共5页Chinese Journal of Digestive Endoscopy

摘　　要：为评估腹带在低体重指数(body mass index,BMI)(BMI<18.5 kg/m^(2))及有腹部手术史患者结肠镜检查中的效果,针对门诊结肠镜检查患者进行随机对照试验。纳入2018年1月至2022年1月在苏州大学附属第二医院接受结肠镜检查的低BMI或有腹部手术史患者,按是否使用腹带分为腹带组和无腹带组。比较两组在盲肠插管时间、结肠镜插入盲肠长度、翻身情况、压腹情况及腹胀程度方面的差异。共有296例患者(98例低BMI患者和198例腹部手术史患者)入组,有无腹带组各148例。结果显示,腹带组相较于无腹带组,盲肠插管时间[(4.35±1.85)min比(7.99±3.86)min,t=35.624,P<0.001]和结肠镜插入盲肠长度[(72.03±10.35)cm比(86.42±17.71)cm,t=38.442,P<0.001]显著减少,患者需要翻身的百分比[18.9%(28/148)比71.6%(106/148),χ^(2)=82.959,P<0.001]、压腹的百分比[6.1%(9/148)比52.7%(78/148),χ^(2)=77.504,P<0.001]显著减少,检查中和检查后两组患者腹胀程度差异有统计学意义(P<0.001)。综上,对于低BMI和腹部手术史的困难结肠镜患者,使用腹带能显著提高结肠镜插入的效率和效果。To evaluate the effects of abdominal belts in colonoscopy for patients with low body mass index(BMI)(BMI<18.5 kg/m^(2))or a history of abdominal surgery,a prospective,randomized,single-blind study was conducted on colonoscopy outpatients.Patients with low BMI or a history of abdominal surgery who underwent colonoscopy at the Second Affiliated Hospital of Soochow University from January 2018 to January 2022 were enrolled.The patients were divided into the abdominal belts group and non-abdominal belts group according to whether they used abdominal belts.Differences between the two groups were compared in terms of cecal intubation time,length of colonoscope intubation into the cecum,patient repositioning,abdominal pressure,and degree of abdominal distension.A total of 296 patients(98 low BMI patients and 198 patients with a history of abdominal surgery)were enrolled,148 in each group.The results showed that cecal intubation time(4.35±1.85 min VS 7.99±3.86 min,t=35.624,P<0.001)and length of colonoscope intubation into the cecum(72.03±10.35 cm VS 86.42±17.71 cm,t=38.442,P<0.001)were lower in the abdominal belts group,compared with those of the non-abdominal belts group.The percentage of patients requiring repositioning[18.9%(28/148)VS 71.6%(106/148),χ^(2)=82.959,P<0.001]and abdominal pressure[6.1%(9/148)VS 52.7%(78/148),χ^(2)=77.504,P<0.001]in the abdominal belts group were significantly lower than those in the non-abdominal belts group.There were significant differences in the degree of abdominal distension during and after colonoscopy(P<0.001).In conclusion,the use of abdominal belts significantly improves the efficiency and effects of colonoscope intubation in difficult colonoscopy patients with low BMI and a history of abdominal surgery.

关 键 词：结肠镜检查 腹带 体重指数 腹部手术史 

分 类 号：R656.9[医药卫生—外科学]