摘要
目的:评价可变硬度结肠镜(variable-stiffness colonoscope,VSC)在老年患者结肠镜筛查中的应用价值.方法:2012-07/2013-03在我院接受大肠癌筛查项目(60-74岁年龄组)行结肠镜检查的患者共732例,随机分为:可变硬度结肠镜(VSC组)和普通成人结肠镜(standard adult colonoscope,SAC)(SAC组),分别用OLYMPUS CF-H260和FUJINON 450WM5型结肠镜完成单人结肠镜插入.统计分析两组的达盲率、达盲时间、腹痛VAS评分、变换体位/腹部按压、追加镇静镇痛药物等指标.结果:VSC组的达盲率较高(95.9%vs 90.7%,P<0.05);同时,VSC组也较少需要在检查过程中变换体位和助手协助腹部按压(12.6%vs 33.3%,P<0.01);达盲时间VSC组和SAC组近似8.2 min±3.5 min vs 9.4 min±3.2 min,P>0.05;V S C组腹痛评分较S A C组高(57.4vs 44.1),但需要镇静镇痛几率类似(4.1%vs3.8%,P>0.05).结论:使用VSC可提高达盲率,并在插入过程中较少需要体位变换和助手协助,两组达盲时间相近,VSC腹痛等不适较SAC多见,但程度较轻,并不增加需要镇静镇痛的几率.
AIM： To explore the application value of variable stiffness colonoscope （VSC） in colonoscopy in elderly patients.
METHODS： From July 2012 to March 2013, 732 elderly patients （60-74 years） suspected to have colorectal cancer underwent colonoscopy at our hospital. They were randomly divided into two groups to receive colonoscopy using either VSC or standard adult colonoscope （SAC）. Cecal intubation rate, cecal intubation time, abdominal pain score, position changes during colonoscopy, and additional use of sedation and/or analgesia were compared between the two groups.
RESULTS： VSC was associated with higher cecal intubation rate （95.9% vs 90.7%, P 〈 0.05） and fewer position changes or ancillary maneuvers during colonoscopy （12.6% vs 33.3%, P 〈 0.01） compared to SAC. Cecal intubation time was similar between the two groups （8.2 min ± 3.5 min vs 9.4 min ± 3.2 min, P 〉 0.05）. Although VAS score was higher in the VSC group than in the SAC group （57.4 vs 44.1）, additional use of sedation and/or analgesia showed no significant difference between the two groups （4.1% vs 3.8%, P 〉 0.05）.
CONCLUSION： Use of VSC significantly improves cecal intubation rate and reduces position changes or ancillary maneuvers during the procedure. Cecal intubation time and additional use of sedation and/or analgesia are similar for the two types of colonoscope.
出处
《世界华人消化杂志》
CAS
北大核心
2013年第29期3168-3172,共5页
World Chinese Journal of Digestology
关键词
结肠镜
可变硬度结肠镜
达盲率
达盲时间
Colonoscopy
Variable stiffness colonoscope
Cecal intubation rate
Cecal intubation time
