无痛结肠镜下息肉切除术与结肠镜下息肉切除术治疗结肠息肉的疗效对比  

Comparison of the Therapeutic Effects of Painless Colonoscopy Assisted Polypectomy and Colonoscopy Assisted Polypectomy for the Treatment of Colon Polyps

作　　者：孙思淼 闫利君[1] 贵照旺 SUN Simiao;YAN Lijun;GUI Zhaowang(Department of Colorectal,Puyang Traditional Chinese Medicine Hospital,Puyang Henan 457000,China)

机构地区：[1]濮阳市中医院肛肠科,河南濮阳457000

出　　处：《临床研究》2024年第12期33-35,共3页Clinical Research

摘　　要：目的对比无痛结肠镜下息肉切除术与结肠镜下息肉切除术治疗结肠息肉的疗效。方法选取2021年6月至2022年6月濮阳市中医院收治的166例结肠息肉患者,随机数字表法分为切除术组、无痛术组,切除术组予以结肠镜下息肉切除术治疗,无痛术组予以无痛结肠镜下息肉切除术治疗;记录肠道功能变化、检测应激水平、胃功能指标、疼痛程度变化,并统计并发症发生率以及评价临床疗效。结果治疗后,无痛术组手术需要时间、住院时间、首次进食时间均短于切除术组,差异有统计学意义(P<0.05)。治疗后,两组胃泌素17(G-17),胃蛋白酶原(PG)水平高于治疗前,超氧化物歧化酶(SOD)、丙二醛(MDA)水平低于治疗前,且无痛术组G-17、PG水平高于切除术组,SOD、MDA水平低于切除术组,差异有统计学意义(P<0.05)。无痛术组术后肛门排气时间、肛门排便时间、肠鸣音恢复时间短于切除术组,差异有统计学意义(P<0.05)。手术前,两组VAS评分比较,差异无统计学意义(P>0.05);手术后,两组VAS评分均低于手术前,且无痛术组VAS评分低于切除术组,差异有统计学意义(P<0.05)。无痛术组并发症发生率低于切除术组,差异有统计学意义(P<0.05)。结论结肠息肉患者采取无痛结肠镜下息肉切除术治疗可降低并发症发生风险,促进术后恢复,指的临床应用。Objective To compare the efficacy of painless colonoscopy assisted polypectomy and colonoscopy assisted polypectomy in the treatment of colonic polyps.Methods A total of 166 patients with colonic polyps admitted to Puyang Traditional Chinese Medicine Hospital from June 2021 to June 2022 were selected and The random number table method was used to divide patients into a resection group and a painless surgery group.The resection group received polypectomy under colonoscopy,while the painless surgery group received polypectomy under painless colonoscopy.Changes in intestinal function,stress levels,gastric function indicators,and changes in pain levels were recorded,the incidence of complications were calculated and clinical efficacy was evaluated.Results After treatment,painless surgery group had shorter operation time,length of hospital stay,and time to first feeding compared to the resection group,with statistically significant differences(P<0.05).Post-treatment,both groups showed increased levels of gastrin 17(G-17)and pepsinogen(PG)compared to pre-treatment,while superoxide dismutase(SOD)and malondialdehyde(MDA)levels decreased;the painless surgery group had higher G-17 and PG levels and lower SOD and MDA levels compared to the resection group,with statistically significant differences(P<0.05).The time for anal gas passage,bowel movement,and recovery of intestinal sounds were shorter in the painless surgery group than those in the resectiongroup,with statistically significant differences(P<0.05).Preoperatively,there was no statistically significant difference in VAS scores between the two groups(P>0.05);postoperatively,VAS scores decreased in both groups compared to preoperative levels,and the painless surgery group had lower VAS scores than the resection group,with statistically significant differences(P<0.05).The complication rate in the painless surgery group was lower than that in the resection group,with statistically significant differences(P<0.05).Conclusion Pain-free polypectomy for patients with colonic

关 键 词：无痛结肠镜下息肉切除术 结肠息肉 结肠镜下息肉切除术 肠道功能 

分 类 号：R605.972[医药卫生—急诊医学]