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目的:探讨透明帽辅助结肠镜单人操作在老年患者检查中的临床应用。方法:对2009年8月至12月来我院消化内镜中心进行检查的408例年龄大于60岁的患者,随机分成A组(204例)和B组(204例),全部检查均在非麻醉状态下操作。A组予以透明帽辅助结肠镜检查,B组行常规结肠镜检查。对两种方法的成功率、平均插镜时间、平均疼痛评分、息肉检出率等指标进行比较,针对性别、年龄、腹部或盆腔手术史、长期便秘、肠道憩室等指标分析插镜时间的影响因素。结果:A组和B组结肠镜检查的成功率分别为99.1%和98.5%。平均插镜时间分别为6.4 min和10.8 min(P<0.05)。平均疼痛分数分别为5.8分和5.1分。息肉检出率分别为70.6%和49.5%(P<0.05)。全部检查无并发症发生。在插镜时间的影响因素中,女性、年龄>80岁、腹部或盆腔手术史、长期便秘等因素有显著差异(P<0.05)。结论:透明帽辅助结肠镜单人操作对于老年患者是一种安全、插镜时间较短、息肉检出率较高的检查方法,年龄超过80岁的老年女性、有腹部或盆腔手术史、长期便秘是导致插镜时间延长的相关因素。
Objective: To investigate the clinical application of transparent cap-assisted colonoscopy for single-person operation in elderly patients. Methods: A total of 408 patients aged 60 years or older who underwent digestive endoscopy in our hospital from August to December in 2009 were randomly divided into group A (n = 204) and group B (n = 204) Operating under anesthesia. A group of transparent cap assisted colonoscopy, B group routine colonoscopy. The success rate of the two methods, the average insertion time, the average pain score, the detection rate of polyps and other indicators were compared, according to gender, age, history of abdominal or pelvic surgery, long-term constipation, intestinal diverticulum and other indicators analysis of the insertion time Influencing factors. Results: The success rates of colonoscopy in group A and group B were 99.1% and 98.5%, respectively. The average insertion time was 6.4 min and 10.8 min (P <0.05). The average pain score was 5.8 and 5.1 respectively. The detection rates of polyps were 70.6% and 49.5% respectively (P <0.05). All checks without complications. Among the influential factors in the time of inserting the mirror, the age of female> 80 years old, the history of abdominal or pelvic surgery, long-term constipation and other factors were significantly different (P <0.05). Conclusion: The transparent cap-assisted colonoscopy for single operation is a safe and safe method for elderly patients. The method of detecting the shortest insertion time and detecting the polyp of the senile patients is more than 80 years old. There is a history of abdominal or pelvic surgery, Constipation is a related factor that leads to extended lens insertion.