中国药物警戒 ›› 2015, Vol. 12 ›› Issue (5): 308-310.

• 药械安全性研究 • 上一篇    下一篇

1112例电子结肠镜单双人操作法的比较分析

蔡玲,张玫,赵曲川   

  1. 首都医科大学宣武医院消化内科，北京 100053
  • 收稿日期:2015-03-16 发布日期:2015-06-08
  • 通讯作者: 张玫，女，主任医师，胃肠病及内镜诊疗。
  • 作者简介:蔡玲，女，硕士，主治医师，胃肠病及内镜诊疗。

Comparative Analysis of One-Man and Two-Men Colonoscopy in 1112 Patients

CAI Ling ,ZHANG Mei ,ZHAO Qu-chuan   

  1. Department of Gastroenterology, Xuan Wu Hospital, Capital University of Medical Sciences, Beijing 100053, China
  • Received:2015-03-16 Published:2015-06-08

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摘要： 目的比较单双人操作结肠镜在临床的应用。方法 2013年 5月～2014年 5月来我院消化内镜中心进行结肠镜检查 1112例患者，分别应用单人和双人操作法进行结肠镜检查，对两种方法的操作成功率、进镜时间、镜身长度、疼痛评分、息肉漏诊率等指标进行比较分析。结果单双人操作结肠镜成功率分别为 98.42%和 93.23%；平均进镜时间分别为 5.51±3.22 min和 11.54±3.83 min（P＜0.05）；镜身长度分别为 71±17 cm和 89±22 cm（P＜0.05）；采用数字评价量表（NRS）评定患者疼痛程度的平均分数分别为 2.69±1.60分和 6.82±2.14分（P＜0.05）；息肉漏诊率分别为 11.82%和 20.13%（P＜0.05）。全部检查患者均无严重并发症发生。结论单人操作法检查患者的成功率高，进镜时间短、镜身短、患者疼痛程度轻，息肉漏诊率低，内镜损耗少。

关键词: 结肠镜, 单人操作法, 双人操作法

Abstract: Objective To compare the clinical application of one-man and two-men colonoscopy. Methods 1 112 patients were separately examined with the technique of one-man and two-men colonoscopy from May 2013 to May 2014. The indicators of the rate of reaching ileocecum, inserting time, colonoscopy length, pain score and polyp rate of missed diagnosis were compared. Results The rates of reaching ileocecum of the routine technique of one-man and two-men colonoscopy were 98.42% and 93.23% respectively. The average inserting times of the two methods were 5.51±3.22 min and 11.54±3.83 min respectively( P<0.05). Colonoscopy lengths of the two methods were 71±17cm and 89±22cm respectively( P<0.05). The pain scores by the NRS questionnaire of the two methods were 2.69 ±1.60 and 6.82±2.14 respectively( P<0.05). Polyp rates of missed diagnosis were 11.82% and 20.13% respectively ( P<0.05). No serious complications were observed in all examinations. Conclusion The technique of one -man colonoscopy has a high success rate. Compared with two-men colonoscopy, one-man colonoscopy has a shorter inserting time, and colonoscopy length, which reduces the patients pain, polyp rate of missed diagnosis and endoscopic loss.

Key words: colonoscopy, one-man colonoscopy, two-men colonoscopy

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