摘要
目的观察二氧化碳注入联合注水法结肠镜检查在便秘患者中的临床效果。方法选取2020年1月至2021年8月解放军联勤保障部队第九○一医院门诊非麻醉结肠镜检查的便秘患者80例,按照随机数字表法分为联合组、注空气组,每组各40例。比较2组患者达盲率、进镜深度、达盲时间、息肉检出率,腹痛程度及操作结束30 min时腹胀率等方面的差异。结果2组在检查相关指标的比较中,达盲率、进镜深度、息肉检出率差异无统计学意义(P>0.05)。联合组到达回盲部所需时间[(5.84±1.76)min]明显快于注空气组[(7.78±2.47)min,P<0.05];注空气组腹痛程度评分(VAS评分)[(4.86±1.78)分]明显高于联合组[(2.48±1.86)分,P<0.05];注空气组操作结束30 min腹胀率(77.5%)明显高于联合组(37.5%,P<0.05)。结论二氧化碳注入联合注水法结肠镜检查可以明显减轻便秘患者肠镜检查的腹痛、腹胀。
Objective To evaluate the clinical effect of water injection colonoscopy and carbon dioxide insufflation colonoscopy in patients with constipation.Methods A total of 80 patients with constipation of undergoing non anesthesia colonoscopy in our hospital were randomly divided into combined group and air injection group,40 cases in each group.Combined group was water injection and carbon dioxide insufflation group,and air injection group was air insufflation group.The success rate,endoscopic depth,examination time,polyp detection rate,abdominal pain degree and abdominal distension rate 30 minutes after operation were compared.Results There were no significant difference in success rate,depth of endoscopy and polyp detection rate between the two groups(P>0.05).The time to reach ileocecal region in combined group[(5.84±1.76)min]was significantly faster than that in air injection group[(7.78±2.47)min,P<0.05].The VAS score of air injection group[(4.86±1.78)score]was significantly higher than that of combined group[(2.48±1.86)score,P<0.05].The abdominal distension rate 30 minutes after operation in air injection group(77.5%)was significantly higher than that in combined group(37.5%,P<0.05).Conclusion Water injection and carbon dioxide insufflation colonoscopy can significantly reduce the abdominal pain and abdominal distension of patients with constipation.
作者
余森源
严和中
王教学
贺星
刘卫
唐郡
YU Sen-yuan;YAN He-zhong;WANG Jiao-xue;HE Xing;LIU Wei;TANG Jun(Department of Gastroenterology,the 901th Hospital of the Joint Logistics Support Force,PLA,Hefei 230031,Anhui,China)
出处
《东南国防医药》
2022年第3期271-273,共3页
Military Medical Journal of Southeast China
关键词
注水结肠镜
注二氧化碳结肠镜
临床疗效
便秘患者
water injection colonoscopy
carbon dioxide insufflation colonoscopy
clinical efficacy
patients with constipation
