[1]苏军凯,张鸣青,王爱民,等.温水灌注对困难结肠镜检查成功率及腹痛评分的影响[J].第三军医大学学报,2012,34(22):2311-2313.
 Su Junkai,Zhang Mingqing,Wang Aimin,et al.Warm water infusion increases cecal intubation rate in difficult colonoscopy: a randomized controlled trial[J].J Third Mil Med Univ,2012,34(22):2311-2313.
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温水灌注对困难结肠镜检查成功率及腹痛评分的影响(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
34卷
期数:
2012年第22期
页码:
2311-2313
栏目:
论著
出版日期:
2012-11-30

文章信息/Info

Title:
Warm water infusion increases cecal intubation rate in difficult colonoscopy: a randomized controlled trial
作者:
苏军凯张鸣青王爱民刘将张帅张华玉李仙丽吕新芝
解放军第175医院(厦门大学附属东南医院)消化内科,南京军区消化内镜中心
Author(s):
Su Junkai Zhang Mingqing Wang Aimin Liu Jiang Zhang Shuai Zhang Huayu Li Xianli Lu Xinzhi
Department of Gastroenterology, NO. 175 Hospital of PLA, Southeast Hospital of Xiamen University, Digestive Endoscopy Centre of Nanjing Military Command, Zhangzhou, Fujian Province, 363000, China
关键词:
困难结肠镜温水灌注回盲部到达率腹痛评分
Keywords:
difficult colonoscopy warm-water infusion cecal intubation rate abdominal pain score
分类号:
R443;R574.62
文献标志码:
A
摘要:
目的      探讨温水灌注在困难结肠镜检查中的应用价值。      方法      结肠镜初学者初次检查不能成功到达回盲部的门诊患者134例,定义为困难结肠镜,随机分为注水组和注气组。注水组采用活检孔道灌注温水法获得肠腔视野,注气组采用传统注气法获得肠腔视野,由教员再次结肠检查。比较两组结肠镜检查成功率及患者腹痛评分等差异。      结果      注水组与注气组之间,年龄、性别组成、腹部手术史、便秘以及BMI均无显著性差异(P>0.05)。注水组结肠镜到达回盲部成功率为94.03%(63/67),明显高于注气组的79.10%(53/67)(P=0.021)。注水组患者腹痛评分为(3.33±1.60)分,明显低于注气组(4.74±1.74)分(P=0.000)。      结论      温水灌注是一种有效提高困难结肠镜检查成功率、减少患者腹痛程度的方法。
Abstract:
Objective      To determine the effect of warm water infusion instead of air insufflation on unsedated difficult colonoscopy.       Methods      One hundred and thirty-four outpatients with difficult colonoscopy that was defined as cecal intubation failure by trainees were randomly divided into a warm water infusion group (water group) and a traditional air insufflation group (gas group). The cecal intubation rate and abdominal pain scores were compared between the water group and the gas group.       Results      There was no significant difference in the age, sex, abdominal surgery history, constipation and body mass index (BMI) between the water group and the gas group. The cecal intubation rate of the water group (94.03%, 63/67) was significantly higher than that of the gas group (79.10%, 53/67) (P=0.021). The abdominal pain score of the water group (3.33±1.60) was significantly lower than that of the gas group (4.74±1.74, P=0.000).       Conclusion      Warm water infusion instead of air insufflation can improve the cecal intubation rate and reduce the abdominal pain during unsedated difficult colonoscopy.

参考文献/References:

苏军凯, 张鸣青, 王爱民, 等. 温水灌注对困难结肠镜检查成功率及腹痛评分的影响[J]. 第三军医大学学报,2012,34(22):2311-2313.

更新日期/Last Update: 2012-11-20