本文選題：結(jié)腸鏡　切入點：疼痛　出處：《南方醫(yī)科大學(xué)學(xué)報》2017年04期 　論文類型：期刊論文

【摘要】：目的分析結(jié)腸鏡檢查過程中患者疼痛的危險因素,建立腸鏡疼痛的預(yù)測模型,為腸鏡檢查前是否使用鎮(zhèn)靜麻醉藥物提供理論參考。方法回顧性收集2016年6~9月在南方醫(yī)科大學(xué)南方醫(yī)院消化內(nèi)鏡中心283例結(jié)腸鏡檢查患者臨床資料,并收集患者對腸鏡的疼痛視覺模擬評分,進(jìn)行單因素分析及Logistic回歸分析,建立疼痛預(yù)測模型。結(jié)果患者疼痛視覺模擬評分≥5分時腸鏡檢查完成率明顯降低(P0.000);單因素分析發(fā)現(xiàn)女性、有盆腹腔手術(shù)史、無腸鏡檢查史、術(shù)前有腹痛主訴、腸鏡操作者經(jīng)驗少、自主估計疼痛程度高、低BMI指數(shù)與患者腸鏡檢查疼痛有關(guān)(P0.05);Logistic回歸顯示,BMI、腸鏡操作者經(jīng)驗和自主估計疼痛程度3個變量進(jìn)入預(yù)測模型(P0.05):P=eY/(1+eY),Y=0.049-0.124×X1-0.97×X2+1.713×A1+0.781×A2+0.147×A3,敏感性70.3%,特異性67.5%。結(jié)論自主估計疼痛程度高、腸鏡操作者經(jīng)驗少以及低BMI指數(shù)是患者進(jìn)行腸鏡檢查出現(xiàn)疼痛的獨立危險因素,腸鏡檢查前評估腸鏡疼痛危險因素可更好指導(dǎo)腸鏡檢查前鎮(zhèn)靜麻醉藥物的使用。
[Abstract]:Objective to analyze the risk factors of pain in patients with colonoscopy, and to establish a predictive model of pain in colonoscopy. Methods the clinical data of 283 patients with colonoscopy in the Center of Digestive Endoscopy, Southern Hospital of Southern Medical University from 2016 to September were retrospectively collected. The visual analogue scores of pain were collected and analyzed by univariate analysis and Logistic regression analysis. Results the complete rate of endoscopy was significantly decreased when the visual analogue score of pain was 鈮，

本文編號：1579442