[1]于海琦,李 静△.无痛肠镜下治疗肠息肉300例临床疗效观察*[J].陕西医学杂志,2020,49(12):1600-1603.[doi:DOI:10.3969/j.issn.1000-7377.2020.12.016]
　YU Haiqi,LI Jing..Clinical effect of painless colonoscopy in treatment of 300 cases of intestinal polyps[J].,2020,49(12):1600-1603.[doi:DOI:10.3969/j.issn.1000-7377.2020.12.016]
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无痛肠镜下治疗肠息肉300例临床疗效观察*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年12期
页码:
1600-1603
栏目:
临床研究
出版日期:
2020-12-05

文章信息/Info

Title:
Clinical effect of painless colonoscopy in treatment of 300 cases of intestinal polyps
作者:
于海琦; 李 静△
锦州医科大学附属第一医院消化科(锦州 121001)
Author(s):
YU Haiqi; LI Jing.
Department of Gastroenterology,the First Affiliated Hospital of Jinzhou Medical University(Jinzhou 121001)
关键词:
肠息肉;  无痛肠镜;  常规肠镜;  高频电凝切除术;  临床疗效;  完全切除率
Keywords:
Intestinal polyps;  Painless enteroscopy;  Conventional enteroscopy;  High-frequency electrocoagulation resection;  Clinical effect;  Complete resection rate
分类号:
R735.3
DOI:
DOI:10.3969/j.issn.1000-7377.2020.12.016
文献标志码:
A
摘要:
目的:观察无痛肠镜下治疗肠息肉的临床效果。方法:将无痛肠镜下行切除术治疗的肠息肉患者300例作为观察组,同时选取常规肠镜下行切除术治疗的肠息肉患者120例作为对照组,比较两组围手术期指标、完全切除率、疼痛程度、血流动力学指标[心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO2)]及并发症发生情况。结果:观察组手术时间、创面愈合时间及住院时间均短于对照组(P<0.05)。观察组切除率高于对照组(P<0.05)。操作过程中观察组疼痛程度优于对照组(P<0.05)。T1、T2、T3时观察组HR、MAP均低于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论:无痛肠镜下治疗肠息肉安全有效,可提高完全切除率,降低患者疼痛程度,稳定血流动力学水平。
Abstract:
Objective:To observe the clinical effect of painless enteroscopy in the treatment of intestinal polyps.Methods:300 patients with intestinal polyps treated by painless endoscopic resection were selected as the observation group,and 120 patients with intestinal polyps treated by conventional endoscopic resection were selected as the control group.Perioperative indexes,complete resection rate,pain degree,hemodynamic indexes [heart rate(HR),mean arterial pressure(MAP),blood oxygen saturation(SpO2)] and the complications were compared between the two groups.Results:The operation time,wound healing time and hospital stay of the observation group were shorter than those of the control group(P<0.05).The resection rate of the observation group was higher than that of the control group(P<0.05).The pain degree during operation was better than that of the control group(P<0.05).The HR and MAP of the observation group were lower than those of the control group at T1,T2 and T3(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Painless colonoscopy is safe and effective in the treatment of intestinal polyps,which can improve the complete resection rate,reduce the pain degree and stabilize the hemodynamic level.

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备注/Memo

备注/Memo:
*辽宁省自然科学基金资助项目(20170510376)
更新日期/Last Update: 2020-12-11