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无痛结肠镜下治疗结肠息肉电切除手术临床观察
王斌
天津市北辰医院肛肠外科天津 300400
摘要:
目的:探讨无痛结肠镜下治疗结肠息肉电切除手术的临床效果。方法:2016 年1 月—2018 年3 月入住我院肛肠外科行结肠息肉手术的患者160 例,随机分为观察组(无痛结肠镜组)和对照组(常规结肠镜组),各80 例。比较两组患者在镜下治疗时长和术后镇静评分、疼痛评分,以及在术前、在插镜到回盲部时、镜下切除息肉时和术后的心率(HR)及血氧饱和度(SPO2)水平。结果:观察组的治疗时长、镇静评分、疼痛评分均小于对照组,差异有统计学意义(P < 0.05);两组患者HR 和SPO2 在术前无统计学差异(P > 0.05);在插镜到回盲部时和镜下切除息肉时,观察组的HR 和SPO2 低于对照组(P < 0.05),术后两组的HR 和SPO2 差异均无统计学意义。结论:无痛结肠镜下息肉切除术较普通结肠镜安全、用时少、患者的舒适度高,镇静、镇痛效果确切。
关键词:  无痛结肠镜  结肠息肉  电切除  临床观察
DOI:10.3969/j.issn.1007-6948.2020.04.021
投稿时间:2019-11-17
基金项目:
Clinical Observation of Painless Colonoscopy in the Treatment of Colon Polyps
WANG Bin
Departmentof Anus Andintestine Surgery, Tianjin Beichen Hospital, Tianjin 300400, China
Abstract:
Objective To investigate the clinical effect of painless colonoscopy in the treatment of colon polyp resection. Methods A retrospective study of 160 patients who underwent colonic polyp surgery in anorectal surgery from January 2016 to March 2018. They were randomly divided into observation group (painless colonoscopy group) and control group (conventional colonoscopy group), which 80 cases in each group. The patients in the two groups underwent microsurgical treatment. Postoperative sedation scores, pain scores, heart rate (HR) of preoperation or in the case of bronchoscopy to ileocecal or microscopic resection of polyps or postoperation as well as oxygen saturation (SPO2) were compared. Results There were significant differences in treatment time between the two groups (P <0.05). There were significant differences in postoperative sedation scores and pain scores between the two groups (P <0.05). There was no statistical difference in heart rate between the two groups (P >0.05). There was significant difference between the laparoscopic and ileocecal microscopic resection of polyps (P <0.05). The heart rate (HR) and oxygen saturation (SPO2) of the time when the mirror to the ileocecal under the microscope and the microscopic resection of polyps in the observation groups were lower than that of the control group, which was a significant difference (P <0.05). There was no significant difference between the heart rate (HR) and oxygen saturation (SPO2) in the two groups after operation (P >0.05). Conclusion Painless colonoscopic polypectomy is safer, less time-consuming, more comfortable, more sedative and analgesic than normal colonoscopy.
Key words:  Painless colonoscopy  colonic polyps  electrical excision  clinical observation

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