中国内镜杂志2013，Vol.19Issue(3)：251-254,4.
注水减轻结肠镜检查患者腹痛的随机对照研究
Randomized controlled trial of warm-water infusion to reduce patient discomfort during colonoscopy examination
摘要
Abstract
[Objective] To confirm the effect of warm-water infusion in lieu of air insufflation during unsedated colonoscopy examination on the incidence of abdominal pain and technical difficulties.[Methods] 400 outpatients for unsedated colonoscopy were randomly assigned to the group of warm-water infusion in left-sided colonoscopy (water group) and traditional air insufflation group (gas group).The abdominal pain score and cecal intubation time were compared between water group and gas group.[Results] The cecal intubation rate within 10 min of water group was 78％,which was significantly lower than 87％ of the gas group.Between the water group and the gas group,the time to cecal [(8.01±1.26) min vs.(7.66±1.58) min],the withdraw time [(5.93±2.30) min vs.(4.80±2.03) min] and total procedure time [(13.94±2.74) min vs.(12.45±2.58) min] were of significant difference.The abdominal pain score of water group (2.87±1.94) was significantly lower than the gas group (2.23±1.71) (P =0.002).Polyp or adenoma detection rate,and the rate of asking for sedation assumed next colonoscopy,were not significant different between the two groups.[Conclusions] Warm water infusion for unsedated colonoscopy is a simple and effective method to reduce the abdominal pain during colonoscopy.关键词
注水结肠镜/腹痛/盲肠到达率/腺瘤Key words
colonoscopy with water infusion/ abdominal pain/ cecal intubation rate/ adenoma分类
医药卫生引用本文复制引用
张鸣青,苏军凯,王爱民,刘将,张帅,李仙丽..注水减轻结肠镜检查患者腹痛的随机对照研究[J].中国内镜杂志,2013,19(3):251-254,4.基金项目
南京军区医学科技创新经费资助项目(No.09MA068) （No.09MA068）
