注入CO2对EMR及ESD治疗者VAS评分及腹痛严重程度的影响.docVIP

注入CO2对EMR及ESD治疗者VAS评分及腹痛严重程度的影响 汪永华 杨新利 栾春红 西安交通大学第二附属医院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 研究注入CO2对结肠镜内镜下黏膜切除术 (EMR) 和内镜下黏膜剥离术 (ESD) 治疗者视觉模拟评分法 (VAS评分) 及腹痛严重程度的影响。方法 选取2015年2月至2016年2月入西安交通大学第二附属医院并需要进行结肠镜下EMR和ESD的患者, 共100例, 然后依照患者意愿和手术需求将100例患者分为空气组和CO2组, 分别在治疗过程中充入空气和CO2, 并对两组患者的VAS评分, 肛门排气情况和二氧化碳分压 (PaCO2) 进行观测。结果 两组患者在治疗中腹痛感基本相同, 差异无统计学意义 (P0.05) ;但在治疗结束时, 结束后1 h, 6 h和24 h时, CO2组患者的腹痛VAS评分低于空气组, 差异有统计学意义 (P0.05) ;CO2组患者在治疗后1 h和6 h肛门的排气情况低于空气组患者, 差异有统计学意义 (P0.05) ;在治疗24 h后两组患者肛门排气情况基本相同, 差异无统计学意义 (P0.05) ;两组患者的PaCO2在治疗前, 治疗中和治疗后基本相同, 差异无统计学意义 (P0.05) 。结论进行结肠镜EMR和ESD治疗时充入CO2能够有效降低患者的腹部疼痛感。 关键词： 二氧化碳; EMR; ESD; VAS评分; 腹痛; 作者简介：汪永华 (1976-) , 女, 本科, 主治医师, 主要研究消化内科疾病的诊断与治疗, E-mail:yuanerhuaguo@163.com 收稿日期：2017-02-10 The effects clinical study of CO2 injection on EMR and ESD healers VAS score and abdominal pain severity WANG Yong-hua YANG Xin-li LUAN Chun-hong Department of Neurology, Xi′an Jiaotong University Second Affiliated Hospital; Abstract： Objective To study the effects of CO2 injection on EMR and ESD healers visual analogue scale (VAS) score and abdominal pain severity. Methods 100 patients received colonoscopy under the EMR and ESD were enrolled for the study. According to the will of the patients and the needs of surgery, they were divided into air and CO2 group, in the process of treatment injecting air and CO2, respectively. The VAS score, the anus exhaust and CO2 partial pressure P values of two groups of patients were observed. Results In the process of treatment, the VAS score of abdominal pain of two groups patients were the same;there was no statistically significant difference (P0.05) . But at the end of the treatment, after 1 h, 6 h and 24 h, the abdominal pain VAS score of CO2 group patients was lower than the air group;the difference was statistically significant (P0.05) . After treatment of 1 h and 6 h, CO2 group patients anus exhaust condition was lower than the air group patients;the