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[1]余森源,严和中,王教学,等.二氧化碳注入联合注水法在结肠镜检查中的疗效分析[J].医学研究与战创伤救治(原医学研究生学报),2022,24(3):271-273.[doi:10.3969/j.issn.1672-271X.2022.03.010]
　YU Sen-yuan,YAN He-zhong,WANG Jiao-xue,et al.Efficacy analysis of water injection and carbon dioxide insufflation in colonoscopy of patients with constipation[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2022,24(3):271-273.[doi:10.3969/j.issn.1672-271X.2022.03.010]
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二氧化碳注入联合注水法在结肠镜检查中的疗效分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第24卷
期数:
2022年3期
页码:
271-273
栏目:
临床研究
出版日期:
2022-06-30

文章信息/Info

Title:
Efficacy analysis of water injection and carbon dioxide insufflation in colonoscopy of patients with constipation
作者:
余森源; 严和中; 王教学; 贺星; 刘卫; 唐郡
作者单位：230031 合肥，解放军联勤保障部队第九○一医院消化内科（余森源、严和中、王教学、贺星、刘卫、唐郡）
Author(s):
YU Sen-yuan;  YAN He-zhong;  WANG Jiao-xue;  HE Xing; LIU Wei;  TANG Jun
（Department of Gastroenterology, the 901th Hospital of the Joint Logistics Support Force，PLA，Hefei 230031,Anhui,China）
关键词:
注水结肠镜; 注二氧化碳结肠镜; 临床疗效; 便秘患者
Keywords:
water injection colonoscopy;  carbon dioxide insufflation colonoscopy;  clinical efficacy;  patients with constipation
分类号:
R574.62
DOI:
10.3969/j.issn.1672-271X.2022.03.010
文献标志码:
A
摘要:
目的观察二氧化碳注入联合注水法结肠镜检查在便秘患者中的临床效果。方法选取2020年1月至2021年8月解放军联勤保障部队第九○一医院门诊非麻醉结肠镜检查的便秘患者80例，按照随机数字表法分为联合组、注空气组，每组各40例。比较2组患者达盲率、进镜深度、达盲时间、息肉检出率，腹痛程度及操作结束30 min时腹胀率等方面的差异。结果2组在检查相关指标的比较中，达盲率、进镜深度、息肉检出率差异无统计学意义(P>0.05)。联合组到达回盲部所需时间[（5.84±1.76 ) min]明显快于注空气组[（7.78±2.47）min，P<0.05]；注空气组腹痛程度评分（VAS评分）[（4.86±1.78）分]明显高于联合组[（2.48±1.86）分，P<0.05]；注空气组操作结束30 min腹胀率（77.5%）明显高于联合组（37.5%，P<0.05)。结论二氧化碳注入联合注水法结肠镜检查可以明显减轻便秘患者肠镜检查的腹痛、腹胀。
Abstract:
ObjectiveTo evaluate the clinical effect of water injection colonoscopy and carbon dioxide insufflation colonoscopy in patients with constipation.MethodsA total of 80 patients with constipation of undergoing non anesthesia colonoscopy in our hospital were randomly divided into combined group and air injection group , 40 cases in each group. Combined group was water injection and carbon dioxide insufflation group, and air injection group was air insufflation group. The success rate, endoscopic depth, examination time, polyp detection rate, abdominal pain degree and abdominal distension rate 30 minutes after operation were compared.ResultsThere were no significant difference in success rate, depth of endoscopy and polyp detection rate between the two groups (P>0.05). The time to reach ileocecal region in combined group [（5.84±1.76)min] was significantly faster than that in air injection group[（7.78±2.47）min, P<0.05]. The VAS score of air injection group [（4.86±1.78）score] was significantly higher than that of combined group [（2.48±1.86）score, P<0.05]. The abdominal distension rate 30 minutes after operation in air injection group （77.5%）was significantly higher than that in combined group（37.5%，P<0.05).ConclusionWater injection and carbon dioxide insufflation colonoscopy can significantly reduce the abdominal pain and abdominal distension of patients with constipation.

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更新日期/Last Update: 2022-06-21