论文部分内容阅读
目的通过对无痛肠镜与普通肠镜检查的对比研究,探讨无痛肠镜的临床应用价值。方法连续入组2013年在邯郸市第一人民医院行肠镜检查的患者4 746例,分为无痛组和普通组,评估患者检查前24 h心理紧张度,并记录检查操作时间、血氧饱和度,心率、血压、腹痛感等,完成患者感受满意度调查及医生操作满意度自评。结果无痛组2 658例,普通组2 088例,组间一般临床资料差异无统计学意义(P>0.05);无痛组检查前24 h心理紧张度明显低于普通组(P<0.05),有无痛肠镜检查史的患者心理紧张度明显低于无无痛检查史者(P<0.05);无痛组操作时间明显低于普通组(P<0.05),组间血氧饱和度,心率、血压差异无统计学意义(P>0.05);无痛组与普通组病变检出率差异无统计学意义(P>0.05);无痛组患者肠镜完成率、感受满意度及医师操作满意度均明显高于普通组(P<0.05)。结论无痛肠镜安全、舒适,临床上更容易被患者接受,值得推广应用。
Objective To compare the painless colonoscopy with ordinary colonoscopy to explore the clinical value of painless colonoscopy. Methods A total of 4 746 patients enrolled in the First People’s Hospital of Handan City in 2013 were enrolled in this study. The patients were divided into the painless group and the general group. The psychological stress was assessed 24 hours before the test. The time of operation, Saturation, heart rate, blood pressure, abdominal pain, etc., to complete patient satisfaction survey and self-evaluation of the doctor’s satisfaction with the operation. Results There were 2 658 cases in the painless group and 2 088 cases in the general group. There was no significant difference in the general clinical data between the two groups (P> 0.05). The psychological stress 24 hours before the painless group was significantly lower than that in the normal group (P <0.05) (P0.05); the painless group’s operation time was significantly lower than that of the normal group (P0.05); the oxygen saturation between the groups was significantly lower than that of the normal group (P> 0.05). There was no significant difference in the detection rate of the lesions between the painless group and the common group (P> 0.05). The incidence of colonoscopy in the painless group was significantly lower than that in the control group The satisfaction degree of operation was significantly higher than that of general group (P <0.05). Conclusion Painless colonoscopy safe, comfortable, clinical more easily accepted by patients, it is worth promoting.