摘要
随着世界人口平均寿命增长,老年结肠镜检查人数逐年增多,但结肠镜检查相关风险和并发症需要关注,肠道准备不足、检查完成率低等问题也值得重视。关于老年人结肠镜筛查的终止时间尚无定论,无结直肠癌报警症状,可筛查至75岁,75岁以上则根据结直肠癌报警症状、身体一般状况、预期寿命等因素综合评估风险获益比。年龄、基础疾病、行走功能状态、不同肠道准备方案等都会影响老年人肠道准备的质量,进而影响结肠镜检查的安全性和有效性,需要针对不同年龄段、不同基础疾病的老年患者,给予个体化肠道准备方案,必要时给予麻醉镇静辅助检查,以提高完整检查率及准确率,减少结肠镜检查相关不良反应及并发症,最大程度降低风险。
With the increase of average life span in worldwide,the number of elderly colonoscopy is increasing,but the risks and complications related to colonoscopy need attention,as well as the problems of inadequate bowel preparation and low completion rate.The termination time of colonoscopy screening in the elderly is not conclusive,for those without colorec�tal cancer alarm symptoms,can be screened to 75 years old,for those older than 75 years old,the comprehensive assessment of risk-benefit ratio should be made according to colorectal cancer alarm symptoms,general physical condition,life expectan�cy and other factors.Age,comorbidity,walking function state,different bowel preparation strategy will affect the quality of bowel preparation in the elderly,and then affect the safety and efficacy of colonoscopy.Individualized bowel preparation strat�egy should be given to elderly patients with different age groups and different comorbidity,anesthesia sedation auxiliary colo�noscopy should be given when necessary to improve the completion rate and accuracy,and then reduce colonoscopy-related adverse events and complications,minimize the risk and increase the benefit.
作者
张艳飞
曹春莉
高娃
宋建忠
ZHANG Yanfei;CAO Chunli;GAO Wa;SONG Jianzhong(Department of Gastroenterology,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China)
出处
《内蒙古医科大学学报》
2023年第2期213-216,221,共5页
Journal of Inner Mongolia Medical University
基金
内蒙古医科大学科技百万工程项目[YKD2016KJBW(LH)012,YKD2018KJBW(LH)038]。
