非泵式注水结肠镜的临床应用研究.doc

PAGE PAGE 2 温水灌注对困难结肠镜检查成功率及腹痛评分的影响 苏军凯，张鸣青，王爱民，刘 将，张 帅，张华玉，李仙丽，吕新芝 （363000福建 漳州，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） [摘要] 目的 探讨观察温水灌注对在困难结肠镜检查中检查成功率及患者腹痛评分的影响的应用价值。方法方法应是介绍试验分组，病例来源，表明研究的科学性 方法之间如有递进关系应按逻辑顺序表述。如无，则应按并列关系表述； 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，门诊非麻醉结肠镜由初学者检查失败的患者定义为困难结肠镜，，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，法（注水组）和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法（注气组），。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。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 结论应为结果的客观的合理的推理，且与目的相呼应； 温水灌注法是一种有效可提高困难结肠镜检查的成功率，、减少患者腹痛程度的方法。 方法应是介绍试验分组，病例来源，表明研究的科学性 方法之间如有递进关系应按逻辑顺序表述。如无，则应按并列关系表述； 结论应为结果的客观的合理的推理，且与目的相呼应； [关键词] 困难结肠镜；温水灌注；回盲部到达率；腹痛评分 [中图法分类号] [文献标志码] A A Randomized Controlled Trial of Warm Water Consumption to Increase Cecal Intubation Rate in difficult Colonoscopy Su Junkai, Zhang Mingqing, Wang Aimin, Liu Jiang, Zhang Shuai，Zhang Huayu,Li Xianli,Lv Xinzhi(Department of gastroenterology, the 175th Hospital of PLA, Southeast Hospital of Xiamen University, Digestive Endoscopy Centre of Nanjing Command, Zhangzhou, Fujian Province,363000, China) [Abstract] Objective To determineconfirm the effect of warm-water infusion in lieu of air insufflation during unsedated difficult colonoscopy on the incidence of cecal intubation rate and abdominal pain score. Methods 134 outpatients of Uunsedated colonoscopy which were failure in trainees performs, were randomly assigned to the group of warm-water infusion (water group) and traditional air insufflation group (gas group). The cecal intubation rate and abdominal pain score were compared between water group and gas group. Result There was no difference between the gas group and air group for the age, agenda, abdominal surgery history, constipation and body mass index. The cecal intubation rate of water group was 94.03%（63/67）, which was significantly higher than 79.10%（53/67）of gas group（P=0.02