AIM:To investigate a limited water infusion method in colonoscopy.METHODS:Consecutive patients undergoing minimally sedated colonoscopy were randomized to receive air insufflation(n = 89) or water infusion limited to ...AIM:To investigate a limited water infusion method in colonoscopy.METHODS:Consecutive patients undergoing minimally sedated colonoscopy were randomized to receive air insufflation(n = 89) or water infusion limited to the rectum,sigmoid colon and descending colon(n = 90).Completion rates,cecal intubation times,procedure times,need for abdominal compression,turning of patients and levels of discomfort were evaluated.RESULTS:Completion rates,total procedure times,need for abdominal compression,and turning of patients were similar between groups.Less pain was experienced in the water group than in the air group(2.5 ± 2.5 vs 3.4 ± 2.8,mean ± SD,P = 0.021).The cecal intubation time was significantly longer in the water group than in the air group(6.4 ± 3.1 min vs 4.5 ± 2.4 min,P < 0.001).More water was infused in the water group(322 ± 80.9 mL vs 26.2 ± 39.4 mL,P < 0.001).CONCLUSION:Limited airless water infusion in the distal colon reduces patients' pain during colonoscopy.展开更多
目的研究超声引导下股神经阻滞复合全身麻醉对老年膝骨关节炎(KOA)患者术后疼痛程度及苏醒时间的影响。方法选取我院老年KOA患者94例,随机数字表法分为对照组(47例)和研究组(47例)。2组均行膝关节置换术治疗,对照组施行气管插管静吸复...目的研究超声引导下股神经阻滞复合全身麻醉对老年膝骨关节炎(KOA)患者术后疼痛程度及苏醒时间的影响。方法选取我院老年KOA患者94例,随机数字表法分为对照组(47例)和研究组(47例)。2组均行膝关节置换术治疗,对照组施行气管插管静吸复合全身麻醉,研究组采用超声引导下股神经阻滞复合全身麻醉。对比2组麻醉起效时间、丙泊酚用量、术后苏醒时间、拔管时间、术后1 h疼痛程度[视觉模拟评分(VAS)]、围手术期[喉罩置入/气管插管时(T0)、切皮即刻(T1)、假体植入时(T2)、缝合时(T3)、入麻醉苏醒室后15 min(T4)]、围手术期血流动力学指标[平均动脉压(MAP)、心率(HR)]及不良反应发生率。结果研究组麻醉起效、术后苏醒及拔管等时间均短于对照组,丙泊酚用量少于对照组,术后1 h VAS评分低于对照组(P<0.05);T0时段,2组HR、MAP水平差异无统计学意义(P>0.05);T1、T2、T3及T4时段,研究组HR、MAP水平低于对照组(P<0.05);研究组不良反应总发生率[4%(2/47)]低于对照组[17%(8/47)](P<0.05)。结论超声引导下股神经阻滞复合全身麻醉能明显减少老年KOA患者膝关节置换术中麻醉药物用量,改善麻醉效果,缩短术后苏醒时间,减轻术后疼痛程度,且能更好维持围手术期血流动力学稳定,降低不良反应发生率。展开更多
基金Supported by Research funds from Buddhist Dalin Tzu Chi General Hospital
文摘AIM:To investigate a limited water infusion method in colonoscopy.METHODS:Consecutive patients undergoing minimally sedated colonoscopy were randomized to receive air insufflation(n = 89) or water infusion limited to the rectum,sigmoid colon and descending colon(n = 90).Completion rates,cecal intubation times,procedure times,need for abdominal compression,turning of patients and levels of discomfort were evaluated.RESULTS:Completion rates,total procedure times,need for abdominal compression,and turning of patients were similar between groups.Less pain was experienced in the water group than in the air group(2.5 ± 2.5 vs 3.4 ± 2.8,mean ± SD,P = 0.021).The cecal intubation time was significantly longer in the water group than in the air group(6.4 ± 3.1 min vs 4.5 ± 2.4 min,P < 0.001).More water was infused in the water group(322 ± 80.9 mL vs 26.2 ± 39.4 mL,P < 0.001).CONCLUSION:Limited airless water infusion in the distal colon reduces patients' pain during colonoscopy.
文摘目的研究超声引导下股神经阻滞复合全身麻醉对老年膝骨关节炎(KOA)患者术后疼痛程度及苏醒时间的影响。方法选取我院老年KOA患者94例,随机数字表法分为对照组(47例)和研究组(47例)。2组均行膝关节置换术治疗,对照组施行气管插管静吸复合全身麻醉,研究组采用超声引导下股神经阻滞复合全身麻醉。对比2组麻醉起效时间、丙泊酚用量、术后苏醒时间、拔管时间、术后1 h疼痛程度[视觉模拟评分(VAS)]、围手术期[喉罩置入/气管插管时(T0)、切皮即刻(T1)、假体植入时(T2)、缝合时(T3)、入麻醉苏醒室后15 min(T4)]、围手术期血流动力学指标[平均动脉压(MAP)、心率(HR)]及不良反应发生率。结果研究组麻醉起效、术后苏醒及拔管等时间均短于对照组,丙泊酚用量少于对照组,术后1 h VAS评分低于对照组(P<0.05);T0时段,2组HR、MAP水平差异无统计学意义(P>0.05);T1、T2、T3及T4时段,研究组HR、MAP水平低于对照组(P<0.05);研究组不良反应总发生率[4%(2/47)]低于对照组[17%(8/47)](P<0.05)。结论超声引导下股神经阻滞复合全身麻醉能明显减少老年KOA患者膝关节置换术中麻醉药物用量,改善麻醉效果,缩短术后苏醒时间,减轻术后疼痛程度,且能更好维持围手术期血流动力学稳定,降低不良反应发生率。
