南方医科大学学报2017，Vol.37Issue(4)：482-487,6.DOI:10.3969/j.issn.1673-4254.2017.04.10
结肠镜检查过程中疼痛的危险因素分析
Risk factors of pain during colonoscopic examination
摘要
Abstract
Objective To investigate the risk factorsthat predict pain during colonoscopy for decision of sedation or analgesia before the examination. Methods A total of 283 consecutive patients undergoing colonoscopicexamination at Nanfang Hospital between July, 2016 and September, 2016were retrospectively analyzed. The clinical data and visual analogue scale after the examination were analyzed to identify the risk factors for pain during colonoscopy using univariate analysis and multivariate logistic regression. A risk stratification model for predicting pain in colonoscopy was established. Results The completion rate of the procedure was significantly lower in patients with a visual analogue scale ≥5 (P<0.000). Univariate analysis showed that female patients, previous abdominal surgery, no previous experience with colonoscopy, complaint of abdominal pain before colonoscopy, insufficient experience of the endoscopists, patient's anticipation of high painlevelbefore examination, and a low body mass index (BMI) were all associated with the experience of pain in colonoscopy (P<0.05). Multivariate logistic regressionanalysis identified BMI index (X1), level of experience of the endoscopist (A1, A2, A3) and the patient's anticipation of painlevel (X2) as the risk factors of pain in colonoscopy(P<0.05), and the establishedmodel with the 3 variables was:P=eY/(1+eY),Y=0.049-0.124 × X1-0.97 × X2+1.713 × A1+0.781 × A2+0.147 × A3, which showed a sensitivity of 70.3%and a specificity of 67.5%for predicting pain in colonoscopy. Conclusion The patient's anticipation of a high pain level in colonoscopy, insufficient experience of the endoscopist, and a low BMI are the independent risk factors for pain in colonoscopy, and evaluation of these factors can help in the decision-making concerning the use of sedation or analgesia before colonoscopy.关键词
结肠镜/疼痛/危险因素/麻醉肠镜Key words
colonoscopy/pain/risk factors/analgesia/colonoscopy引用本文复制引用
赖雪莹,汤小伟,黄思霖,龚伟,智发朝,刘思德,陈烨..结肠镜检查过程中疼痛的危险因素分析[J].南方医科大学学报,2017,37(4):482-487,6.基金项目
国家"863"计划专题(2015AA020701) Supported by the National HighTechnology Research and Development Program ("863"Program). （2015AA020701）
