二氧化碳充气对无痛结肠镜诊疗患者舒适度的影响

Impact of carbon dioxide insufflation on the comfort of patients underwent painless colonoscopy

摘要:

摘要：目的??比较空气和二氧化碳充气对无痛结肠镜患者术后疼痛评分、腹胀持续时间及满意度的差异。方法 将200例无痛结肠镜患者随机分成两组（空气组和二氧化碳组），分别记录结肠镜诊疗的时间，待患者苏醒后评估腹痛评分、腹胀持续时间及满意度评分，使用SPSS 16.0统计软件分析数据。结果 空气组视觉模拟评分（VAS）为（1.42±0.55）分，二氧化碳组为（0.52±0.16）分，两组比较，差异有统计学意义（t =10.78，P <0.01）；空气组腹胀持续时间（45.60±16.78）min，二氧化碳组腹胀时间（21.31±19.67）min，两组比较，差异有统计学意义（t =10.13，P <0.01）；空气组结肠镜诊疗时间（10.55±5.33）min，二氧化碳组（10.96±5.23）min，两组比较，差异无统计学意义（t =-0.54，P >0.05）；空气组无痛结肠镜患者术后满意度（92.46±1.93）分，二氧化碳组（99.95±0.36）分，两组比较，差异有统计学意义（t =-37.95，P <0.01）。结论?无痛结肠镜诊治使用二氧化碳充气，明显减轻腹胀程度、减少VAS评分和缩短腹胀持续时间，提高患者舒适度和满意度。

Abstract:

Abstract: Objective?To compare the VAS score, abdominal distension and satisfaction of carbon dioxide insufflation on the patients underwent painless colonoscopy.?Methods?We divided 200 patients who underwent painless colonoscopy into two groups randomly (air insufflation group and carbon dioxide insufflation group), record and compared the maximal VAS score, the time of abdominal distension and satisfaction. All the data was analyzed by SPSS16.0.?Results?The maximal VAS score was (1.42 ± 0.55) score in the air insufflation group whereas (0.52 ± 0.16) score in the carbon dioxide insufflation group (t = 10.78, P < 0.01), the time of distension after painless colonoscopy was (45.60 ± 16.78) min in the air insufflation group whereas (21.31 ± 19.67) min in the carbon dioxide insufflation group (t = 10.13, P < 0.01), the patients’ satisfaction in the air insufflation group was (92.46 ± 1.93) score, the carbon dioxide insufflation group was (99.95 ± 0.36) score, (t = -37.95, P < 0.01), the time of painless colonoscopy was (10.55 ± 5.33) min in the air insufflation group whereas (10.96 ± 5.23) min in the carbon dioxide insufflation group, (t = -0.54, P > 0.05).?Conclusion?Carbon dioxide insufflation during painless colonoscopy can decrease the patients’ pain, shorten the time of abdominal distension and increase the patients’ satisfaction after painless colonoscopy.