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改良西甲硅油使用方法在麻醉结肠镜中去泡效果研究

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目的:探究改良西甲硅油使用方法在麻醉结肠镜中去泡效果.方法:将80例麻醉结肠镜检查患者随机分为口服用药组和改良用药组,口服用药组在检查前口服西甲硅油800 mg;改良用药组在检查前口服西甲硅油400 mg,在检查过程中按需由活检嵌道使用西甲硅油400 mg冲洗.比较两组间结肠去泡满意率、结肠准备质量满意率、检查时间和检查后患者满意率.结果:改良用药组结肠去泡满意率(97.5%)高于口服用药组(80.0%)(P<0.05),改良用药组结肠准备质量满意率(82.5%)与口服用药组(87.5%)间差异无统计学意义(P>0.05),改良用药组检查时间[(11.4±1.6)min]短于口服用药组[(12.1±1.5)min](P<0.05),改良用药组检查后患者质量满意率(92.5%)与口服用药组(90%)间差异无统计学意义(P>0.05).结论:麻醉结肠镜检查前口服半量西甲硅油联合检查中按需使用另一半西甲硅油经活检嵌道冲洗去除结肠泡沫安全、有效,其去泡效果优于检查前口服全量西甲硅油,并且可以节约检查时间.
Defoaming effect of improved simethicone usage in painless colonoscopy
Objective:To observe the defoaming effect of improved simethicone usage in painless colonoscopy.Methods:Eighty patients undergoing painless colonoscopy were randomly divided into oral administration group(OA group)or improved administration group(IA group).Before examination,patients in OA group and IA group took 800 mg and 400 mg of simethicone orally respectively.During examination,those in IA group received another 400 mg of simethicone through biopsy channel for rinse as needed.Two groups were compared regarding satisfaction rate of defoaming in colon,quality of intestinal preparation,duration of examination and patient's satisfaction rate after examination.Results:The satisfaction rate of colon defoaming in IA group was higher than that in OA group(97.5%vs.80.0%,P<0.05).There was no significant difference in quality of intestinal preparation between IA and OA groups(82.5%vs.87.5%,P>0.05).The duration of examination in IA group was shorter than that in OA group[(11.4±1.6)min vs.(12.1±1.5)min,P<0.05].There was no significant difference in patient's satisfaction rate after examination between IA and OA groups(92.5%vs.90%,P>0.05).Conclusion:It is safe and effective to remove the foam in colon in patients by oral use half dose of simethicone before examination,and another half dose is administered through biopsy channel for rinsing the colon during examination.The defoaming effect of improved simethicone usage is better than that of traditional oral administration and it can also shorten the duration of examination.

simethiconedefoaming agentanesthesiacolonoscopyendoscope

胡为超、黄琳娜、陈丽萍

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皖南医学院第二附属医院 消化内科,安徽 芜湖 241000

西甲硅油 去泡药 麻醉 结肠镜 内窥镜

安徽省高等学校自然科学研究项目皖南医学院中青年科研基金

KJ20190429WK2020F41

2024

皖南医学院学报
皖南医学院

皖南医学院学报

CSTPCD
影响因子:0.695
ISSN:1002-0217
年,卷(期):2024.43(2)