单人操作在无痛结肠镜检查中的应用效果
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摘要
目的分析单人操作在无痛结肠镜检查中的应用效果。方法选取2017年2月～2018年2月我院收治的78例无痛结肠镜检查患者作为研究对象,采用计算机随机将患者分为对照组与观察组,每组各39例。对照组采用双人操作无痛胃镜,观察组应用单人操作,比较两组患者的临床指标及不良反应总发生率。结果两组患者检查中的收缩压、舒张压、脉率与检查前比较,差异无统计学意义(P>0.05);检查中,两组患者的收缩压、舒张压、脉率比较,差异无统计学意义(P>0.05);观察组达回盲部镜身长度短于对照组(P<0.05);观察组的操作时间短于对照组(P<0.05);观察组患者的不良反应总发生率低于对照组(P<0.05)。结论在无痛结肠镜检查时,应用单人操作检查,安全性、有效性均较高,值得临床推广应用。
Objective To analyze the clinical experience of single operation with painless colonoscopy. Methods A total of 78 patients with painless colonoscopy admitted to our hospital from February 2017 to February 2018 were selected as the subjects, and randomly divided into control group and observation group by computer, with 39 cases in each group. The control group used painless gastroscopy with double operation, and the observation group used single operation. The clinical indicators and the total incidence of intraoperative adverse reactions were compared between the two groups. Results There was no significant difference in systolic blood pressure, diastolic blood pressure and pulse rate of the two groups before and after examination(P>0.05). After examination, there was no significant difference in systolic blood pressure, diastolic blood pressure and pulse rate between the two groups(P>0.05). The length of the ileocecal mirror in the observation group was shorter than that in the control group(P<0.05). The operation time in the observation group was shorter than that in the control group(P<0.05). The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05). Conclusion Single-person operation is safe and effective in painless colonoscopy, which is worthy of clinical application.
Objective To analyze the clinical experience of single operation with painless colonoscopy. Methods A total of 78 patients with painless colonoscopy admitted to our hospital from February 2017 to February 2018 were selected as the subjects, and randomly divided into control group and observation group by computer, with 39 cases in each group. The control group used painless gastroscopy with double operation, and the observation group used single operation. The clinical indicators and the total incidence of intraoperative adverse reactions were compared between the two groups. Results There was no significant difference in systolic blood pressure, diastolic blood pressure and pulse rate of the two groups before and after examination(P>0.05). After examination, there was no significant difference in systolic blood pressure, diastolic blood pressure and pulse rate between the two groups(P>0.05). The length of the ileocecal mirror in the observation group was shorter than that in the control group(P<0.05). The operation time in the observation group was shorter than that in the control group(P<0.05). The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05). Conclusion Single-person operation is safe and effective in painless colonoscopy, which is worthy of clinical application.
引文
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[14]李香姬,李月晶,刘洋.无痛结肠镜下行结肠息肉高频电切除术患者的护理效果观察[J].世界最新医学信息文摘,2016,16(44):243-244.
[15]黎波,刘扬兰,张宗胜.I-SCAN技术和普通高清电子结肠镜在结直肠息肉诊断中的应用效果对比[J].中国当代医药,2017,24(3):39-41.
[2]王津燕,岳辉,王金萍.盐酸右美托咪定与异丙酚在无痛结肠镜检查中的麻醉效果和安全性比较[J].中国药房,2016,27(3):308-310.
[3]薛亚峰.透明帽辅助无痛结肠镜单人操作在检查中的前瞻性应用[J].中国社区医师,2015,31(19):106,108.
[4]苏连明,庄彦华,胡立华,等.无痛结肠镜检查中注入二氧化碳的安全性及有效性研究[J].现代消化及介入诊疗,2015,20(3):221-222.
[5]陶利萍,黄尔炯,卢湧湧,等.智能手机社交软件改善结肠镜检查前肠道准备质量[J].中国现代医生,2017,55(18):80-83.
[6]罗星燎,肖剑,李全,等.羟考酮复合异丙酚麻醉在结肠镜诊疗术中的应用效果[J].中国当代医药,2017,24(13):137-139.
[7]殷明,沈毅慧,李桓,等.无痛结肠镜检查单人操作300例临床分析[J].中国全科医学,2013,16(18):1679-1680.
[8]孔雪岩,石海燕,张玉,等.西甲硅油乳剂在无痛结肠镜检查术中祛泡效果观察[J].解放军医学院学报,2013,34(1):69-70.
[9]吴东海,杨曙光,龙子义.无痛肠镜单人操作100例临床分析[J].中国医学创新,2010,7(33):172-173.
[10]王丽梅,吴颖,梁聪,等.无痛结肠镜下治疗急性阑尾炎22例临床研究[J].陕西医学杂志,2018,47(12):1602-1605.
[11]李兰花.无痛肠镜高频电切术治疗老年人结直肠息肉81例临床分析[J].临床医药文献杂志(电子版),2016,3(33):6600,6002.
[12]徐红梅.无痛肠镜下行肠息肉高频电凝切除术临床疗效分析[J].中国现代医生,2015,53(29):58-60.
[13]李敏,张萌,,崔世芳,等.无痛肠镜下高频电凝电切治疗结肠息肉的护理效果分析[J].中国临床研究,2016,29(6):842-843.
[14]李香姬,李月晶,刘洋.无痛结肠镜下行结肠息肉高频电切除术患者的护理效果观察[J].世界最新医学信息文摘,2016,16(44):243-244.
[15]黎波,刘扬兰,张宗胜.I-SCAN技术和普通高清电子结肠镜在结直肠息肉诊断中的应用效果对比[J].中国当代医药,2017,24(3):39-41.