注气法和注水法对老年患者结肠镜检查效果及检查过程中腹痛程度、炎症应激程度的比较

注气法和注水法对老年患者结肠镜检查效果及检查过程中腹痛
程度、炎症应激程度的比较
张献文
【期刊名称】《医学综述》
【年(卷),期】2015(000)018
【摘要】Objective To analyze the influence of gas injection and water injection method on elderly patients′abdominal pain,inflammation and stress levels during colonoscopy.Methods A total of 122 elderly patients receiving colonoscopy were chosen in Mianyang Central Hospital Endoscopy Room from Jul.2013 to Jul.2014 as research objects,and were divided into control group (61 cases) receiving gas injection and observation group(61 cases) receiving water injection according to random number table method,and the tes-ting time,abdominal pain
score,inflammatory factor levels and stress levels of the two groups were compared. Results The endoscope entrance and exit time of the observation group was significantly shorter than the control group,and the abdominal pain score was less than the control group(P<0.01);the interleukin,CRP and TNF-αlevels of the observation group were significantly lower than the control group(all P <0.01);Epinephrine, norepinephrine and angiotensin Ⅱ levels of the observation group were significantly lower than the control group(P<0.01).Conclusion Water injection colonoscopy method can optimize the inspection process,reduce
the abdominal pain,and reduce the inflammation stress level after examination.%目的：分析注气法和注水法对老年患者结肠镜检查效果及检查过
程中腹痛程度、炎症应激程度的差异。

方法选择2013年7月至2014年7月在绵阳市中心医院内镜室接受结肠镜检查的肛肠科患者122例作为研究对象，依据随
机数字表法分为两组：对照组（61例）接受注气法检查，观察组（61例）接受注水法检查。

比较两组患者的检查时间、腹痛评分、炎性因子水平及应激水平等差异。

结果观察组患者接受注水法检查后的进镜时间及退镜时间明显短于对照组，腹痛评分小于对照组（ P＜0.01）；白细胞介素8、C 反应蛋白及肿瘤坏死因子α水平均明显低于对照组（均 P ＜0.01）；肾上腺素、去甲肾上腺素以及血管紧张素Ⅱ指
标均明显低于对照组（均P＜0.01）。

结论注水法结肠镜检查可以优化检查过程、减少患者腹痛感受，同时降低检查后的炎症应激水平。

【总页数】3页(P3444-3446)
【作者】张献文
【作者单位】绵阳市中心医院内镜室，四川绵阳 621000
【正文语种】中文
【中图分类】R574.62
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