探讨既往腹部手术病史对女性患者肠镜检查中疼痛的影响
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摘要
目的探讨既往腹部手术病史对女性患者肠镜检查中疼痛的影响。方法回顾性分析2017年1月至6月来我院内镜室行肠镜检查的女性患者298例,根据有无腹部手术病史将患者分为手术组(n=122)与非手术组(n=176),采用自行设计的调查问卷及国内通用的数字疼痛分级量表来评估肠镜检查中的疼痛程度。结果两组患者的一般资料、肠道清洁度和肠镜插入深度无显著差异(P>0.05)。进镜时间、医生进镜顺利程度、腹部按压防肠袢,疼痛程度均有显著差异(P<0.05)。结论既往有腹部手术病史患者肠镜检查时更容易出现疼痛,且下腹部手术病史患者出现的疼痛程度更重。
Objective To investigate the influence of history of previous abdominal surgery on the pain of female patients during colonoscopy.Methods We conducted a retrospective analysis of 298 cases of female patients with endoscopic colonoscopy in our hospital from January to June in 2017,and the patients were divided into previous operation group(n=122)and non-operation group(n=176)according to whether they have the history of abdominal surgery or not.We used self-designed questionnaires and the domestic general digital pain rating scale to evaluate the degree of pain in the colonoscopy.Results There was no significant difference between the two groups in general data,intestinal cleanliness and enteroscopy depth(P>0.05).There were significant differences between the two groups in colonoscopy operation time,operational proficiency,abdominal pressure loops,and degree of the pain(P<0.05).Conclusion Patients with previous abdominal surgery history are more likely to have pain during colonoscopy and patients with a history of lower abdominal surgery have more severe pain.
Objective To investigate the influence of history of previous abdominal surgery on the pain of female patients during colonoscopy.Methods We conducted a retrospective analysis of 298 cases of female patients with endoscopic colonoscopy in our hospital from January to June in 2017,and the patients were divided into previous operation group(n=122)and non-operation group(n=176)according to whether they have the history of abdominal surgery or not.We used self-designed questionnaires and the domestic general digital pain rating scale to evaluate the degree of pain in the colonoscopy.Results There was no significant difference between the two groups in general data,intestinal cleanliness and enteroscopy depth(P>0.05).There were significant differences between the two groups in colonoscopy operation time,operational proficiency,abdominal pressure loops,and degree of the pain(P<0.05).Conclusion Patients with previous abdominal surgery history are more likely to have pain during colonoscopy and patients with a history of lower abdominal surgery have more severe pain.
引文
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[2]关富,陈钟,苏军凯,等.注水结肠镜在消化道疾病治疗中的临床应用[J].国际消化病杂志,2016,36(3):164-166.
[3]黄文恒.情志法辅助结肠镜检查的应用研究[D].广州:广州中医药大学,2010.
[4]Bejes C,Marvel M K.Attempting the improbable:offering colorectal cancer screening to all appropriate patients[J].Fam Pract Res J,1992,12(1):83-90.
[5]李娜,朱久新,张妍,等.医用聚乙二醇小檗碱液对大鼠腹部术后肠黏连的预防作用[J].哈尔滨医科大学学报,2016,50(5):430-433.
[6]张璠轶,于冬梅,刘亚.结肠镜检查患者疼痛及影响因素分析[J].解放军护理杂志,2016,33(12):27-30.
[7]刘满平.疼痛评估方法及其运用[J].包头医学,2017,41(2):65-67.
[8]郭继志.论医患冲突与和谐医患关系的重建[J].中国医学伦理学,2006,19(3):43-45.
[9]黄冰,陈圣和,陈寿根,等.解痉催眠镇痛法无痛肠镜[J].中国内镜杂志,2003,9(7):4-6.
[10]肖文英.疼痛患者的评估及护理[J].中国卫生产业,2013,10(34):60-62.
[11]Loeve A J,Fockens P,Breedveld P.Mechanical analysis of insertion problems and pain during colonoscopy:why highly skilldependent colonoscopy routines are necessary in the first place...and how they May be avoided[J].Can J Gastroenterol,2013,27(5):293-302.