摘要
目的比较空气和二氧化碳充气对无痛结肠镜患者术后疼痛评分、腹胀持续时间及满意度的差异。方法将200例无痛结肠镜患者随机分成两组(空气组和二氧化碳组),分别记录结肠镜诊疗的时间,待患者苏醒后评估腹痛评分、腹胀持续时间及满意度评分,使用SPSS 16.0统计软件分析数据。结果空气组视觉模拟评分(VAS)为(1.42±0.55)分,二氧化碳组为(0.52±0.16)分,两组比较,差异有统计学意义(t=10.78,P<0.01);空气组腹胀持续时间(45.60±16.78)min,二氧化碳组腹胀时间(21.31±19.67)min,两组比较,差异有统计学意义(t=10.13,P<0.01);空气组结肠镜诊疗时间(10.55±5.33)min,二氧化碳组(10.96±5.23)min,两组比较,差异无统计学意义(t=-0.54,P>0.05);空气组无痛结肠镜患者术后满意度(92.46±1.93)分,二氧化碳组(99.95±0.36)分,两组比较,差异有统计学意义(t=-37.95,P<0.01)。结论无痛结肠镜诊治使用二氧化碳充气,明显减轻腹胀程度、减少VAS评分和缩短腹胀持续时间,提高患者舒适度和满意度。
Objective To compare the VAS score,abdominal distension and satisfaction of carbon dioxide insufflation on the patients underwent painless colonoscopy.Methods We divided 200 patients who underwent painless colonoscopy into two groups randomly(air insufflation group and carbon dioxide insufflation group),record and compared the maximal VAS score,the time of abdominal distension and satisfaction.All the data was analyzed by SPSS16.0.Results The maximal VAS score was(1.42±0.55)score in the air insufflation group whereas(0.52±0.16)score in the carbon dioxide insufflation group(t=10.78,P<0.01),the time of distension after painless colonoscopy was(45.60±16.78)min in the air insufflation group whereas(21.31±19.67)min in the carbon dioxide insufflation group(t=10.13,P<0.01),the patients’satisfaction in the air insufflation group was(92.46±1.93)score,the carbon dioxide insufflation group was(99.95±0.36)score,(t=-37.95,P<0.01),the time of painless colonoscopy was(10.55±5.33)min in the air insufflation group whereas(10.96±5.23)min in the carbon dioxide insufflation group,(t=-0.54,P>0.05).Conclusion Carbon dioxide insufflation during painless colonoscopy can decrease the patients’pain,shorten the time of abdominal distension and increase the patients’satisfaction after painless colonoscopy.
作者
张凌云
刘颖
刘佳
窦娴丽
孟德峰
孙学国
Ling-yun Zhang;Ying Liu;Jia Liu;Xian-li Dou;De-feng Meng;Xue-guo Sun(Department of Gastroenterology,the Affiliated Hospital of Qingdao University,Qingdao,Shandong 266000,China)
出处
《中国内镜杂志》
2020年第1期25-28,共4页
China Journal of Endoscopy
