论文部分内容阅读
目的:探讨电子结肠镜单人操作法在临床应用中较双人操作法的优势。方法:将500例行结肠镜检查的患者随机分为2组:单人操作法组和双人操作法组,各250例。观察患者在检查过程中有无明显腹痛、能否全部完成检查、到达回盲部所用的时间和插镜的长度。结肠镜检查结束后所有患者均完成一份问卷调查表。结果:单人操作组250例患者全部完成检查:双人操作组中有3例因腹痛明显或结襻而不能完成检查,但两者比较,差异不明显:检查所用的时间无明显差异;双人操作法较单人操作法所需插镜长度明显长:单人操作组患者在整个操作过程中明显腹痛者37例,双人操作组感觉明显腹痛者77例,差异明显。结论:电子结肠镜单人操作法较双人操作法插镜长度短,使受检者更舒适、更安全,可明显减少腹痛发生率及明显减轻腹痛的程度。
OBJECTIVE: To explore the advantages of the single colonoscopy operation in comparison with the double operation method in clinical application. Methods: 500 patients undergoing colonoscopy were randomly divided into two groups: single operation group and double operation group, 250 cases each. Observe the patient in the inspection process with or without obvious abdominal pain, can complete the inspection, reach the ileocecal part of the time and the length of the lens inserted. All patients completed a questionnaire after the colonoscopy. Results: In the single operation group, 250 patients completed the examination. In the double operation group, 3 patients were unable to complete the examination due to the obvious abdominal pain or knot. However, the difference was insignificant between the two groups. There was no significant difference in the time used for the examination. Compared with the single operation method, the length of the inserted lens is obviously longer: 37 patients with obvious abdominal pain in the single operation group and 77 patients with obvious abdominal pain in double operation group, the difference is obvious. Conclusion: The single operation method of electronic colonoscopy is shorter than that of double operation method, making the subjects more comfortable and safer, and can significantly reduce the incidence of abdominal pain and significantly reduce the degree of abdominal pain.