结肠镜下氩离子凝固术对结肠微小息肉患者手术相关指标及并发症的影响  

Effect of Colonoscopic Argon Plasma Coagulation on Surgical Related Indicators and Complications in Patients with Colon Polyps

作　　者：李爱洁 熊佩佩 LI Aijie;XIONG Peipei(Outpatient Operating Room,Liaocheng Dongchangfu District Maternal and Child Health Hospital,Liaocheng 252000,Shandong,China)

机构地区：[1]聊城市东昌府区妇幼保健院门诊手术室,山东聊城252000

出　　处：《世界复合医学》2024年第6期121-124,共4页World Journal of Complex Medicine

摘　　要：目的分析结肠镜下氩离子凝固术(argon plasma coagulation,APC)对结肠微小息肉患者的影响。方法选取2022年9月—2023年9月聊城市东昌府区妇幼保健院收治的96例结肠微小息肉患者为研究对象,按治疗方法的不同分为两组,各48例。对照组行结肠镜下高频电凝电切术,观察组行结肠镜下APC。对比两组手术相关指标、应激反应、并发症发生率。结果两组息肉切除个数、住院时间相比,差异无统计学意义(P均>0.05)。观察组切除时间为(4.05±0.61)min,短于对照组的(5.19±0.83)min,并发症发生率为4.17%(2/48),低于对照组的16.67%(8/48),差异有统计学意义(t=7.668,χ^(2)=4.019,P均<0.05)。术后,观察组去甲肾上腺素、皮质醇、肾上腺素水平均低于对照组,差异有统计学意义(P均<0.05)。结论结肠镜下APC可缩短手术时间,减轻结肠小息肉患者应激反应,且并发症发生率低。Objective To analyze the effects of argon plasma coagulation(APC)under colonoscopy on patients with colon micropolyps.Methods A total of 96 patients with colon micropolyps admitted to Liaocheng Dongchangfu District Maternal and Child Health Hospital in from September 2022 to September 2023 were selected as the study objects and divided into two groups according to random number table method,with 48 cases in each group.The control group was treated with high frequency electric coagulation and electric resection under colonoscopy,and the observation group was treated with APC under colonoscopy.Compared two groups of indicators related to the operation,stress reaction and complications.Results There were no significant differences in the number of polyp resection and hospitalization time between the two groups(both P>0.05).The resection time of the observation group was(4.05±0.61)min,which was shorter than(5.19±0.83)min of the control group,and the incidence of complications was 4.17%(2/48),which was lower than 16.67%(8/48)of the control group,the differences were statistically significant(t=7.668,χ^(2)=4.019,both P<0.05).After operation,the Levels of norepinephrine,cortisol,epinephrine of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion APC under colonoscopy can shorten the operation time,reduce the stress response of patients with small colonic polyps,and the incidence of complications is low.

关 键 词：结肠微小息肉 应激反应 并发症 去甲肾上腺素 皮质醇 

分 类 号：R574[医药卫生—消化系统]