摘要
目的:观察无痛电子肠镜下黏膜切除术(EMR)治疗肠息肉患者的效果。方法:选取2018年1月至2020年5月该院收治的62例肠息肉患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各31例。对照组实施电子肠镜下EMR术治疗,观察组实施无痛电子肠镜下EMR术治疗,比较两组手术相关指标水平、炎性因子[白细胞介素-6(IL-6)、C反应蛋白(CRP)]水平、并发症发生率和1年复发率。结果:观察组手术时间短于对照组,术中出血量少于对照组,术中平均收缩压、平均舒张压、平均心率均低于对照组,差异有统计学意义(P<0.05);术后3 d,观察组IL-6、CRP水平均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.23%,低于对照组的19.35%,差异有统计学意义(P<0.05);两组1年复发率比较,差异无统计学意义(P>0.05)。结论:无痛电子肠镜下EMR术治疗肠息肉患者,可缩短手术时间,减少术中出血量,稳定术中血流动力学指标水平,降低机体炎性因子水平和并发症发生率,其效果优于电子肠镜下EMR术治疗。
Objective:To observe effects of mucosal resection(EMR)under painless electronic colonoscopy in treatment of patients with intestinal polyps.Methods:62 patients with intestinal polyps admitted to this hospital from January 2018 to May 2020 were selected for the prospective study,and were divided into control group and observation group according to the random number table method,31 cases in each group.The control group was treated with EMR under electronic colonoscopy,while the observation group was treated with EMR under the painless electronic colonoscopy.The levels of surgery-related indicators,the inflammatory factor levels[interleukin-6(IL-6),C-reactive protein(CRP)],the incidence of complications,and 1-year recurrence rates were compared between the two groups.Results:The operation time of the observation group was shorter than that of the control group;the intraoperative blood loss was less than that of the control group;the average systolic blood pressure,diastolic blood pressure and heart rate during the surgery were lower than those of the control group;and the differences were statistically significant(P<0.05).3 days after the surgery,the levels of IL-6 and CRP in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 3.23%,which was lower than 19.35%in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in the 1-year recurrence rate between the two groups(P>0.05).Conclusions:EMR under the painless electronic colonoscopy in the treatment of the patients with intestinal polyps can shorten the operation time,reduce the amount of intraoperative blood loss,stabilize the levels of intraoperative hemodynamic indexes,and reduce the levels of inflammatory factors and the incidence of complications.Moreover,it is superior to EMR under electronic colonoscopy.
作者
饶德光
RAO Deguang(Department of Gastroenterology of Guangshan County People’s Hospital,Xinyang 465450 Henan,China)
出处
《中国民康医学》
2022年第18期14-16,共3页
Medical Journal of Chinese People’s Health
关键词
肠息肉
无痛
电子肠镜
黏膜切除术
炎性因子
并发症
复发率
Intestinal polyps
Painless
Electronic colonoscopy
Mucosal resection
Inflammatory factor
Complication
Recurrence rate
