【摘要】：背景目前應(yīng)用于結(jié)直腸癌篩查的結(jié)腸鏡檢查中,常規(guī)二甲硅油散使用方法存在資源浪費(fèi)的情況。目的找尋一種更經(jīng)濟(jì)有效的二甲硅油散使用方法。方法選取2015年1月—2016年6月在重慶市第五人民醫(yī)院行結(jié)腸鏡檢查的受檢者275例為研究對(duì)象。采用隨機(jī)雙盲法將受檢者分為試驗(yàn)組(136例)和對(duì)照組(139例)。腸道準(zhǔn)備時(shí),試驗(yàn)組僅口服聚乙二醇4000散,對(duì)照組則口服聚乙二醇4000散后,繼續(xù)予以二甲硅油散;結(jié)腸鏡檢查進(jìn)鏡時(shí),如發(fā)現(xiàn)腸道泡沫,兩組均予以二甲硅油散兌水沖洗吸引。記錄兩組進(jìn)鏡時(shí)腸道泡沫分級(jí)、退鏡時(shí)腸道泡沫情況、結(jié)腸鏡檢查時(shí)間、二甲硅油散使用數(shù)量。結(jié)果根據(jù)剔除標(biāo)準(zhǔn)剔除了7例患者,最終共納入268例受檢者,其中試驗(yàn)組132例、對(duì)照組136例。試驗(yàn)組進(jìn)鏡時(shí)腸道泡沫分級(jí)大于對(duì)照組,二甲硅油散使用數(shù)量小于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);兩組結(jié)腸鏡檢查時(shí)間比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。兩組退鏡時(shí)腸道泡沫情況均達(dá)標(biāo)。結(jié)論改良二甲硅油散使用方法 (僅在進(jìn)鏡時(shí)使用二甲硅油散兌水沖洗)既能夠達(dá)到結(jié)直腸癌篩查中結(jié)腸鏡檢查全結(jié)腸無(wú)泡沫的要求,又不會(huì)延長(zhǎng)結(jié)腸鏡檢查時(shí)間,二甲硅油散使用量也明顯減少,簡(jiǎn)單易行,可以在今后的結(jié)直腸癌篩查中繼續(xù)使用。
[Abstract]:Background in colonoscopy of colorectal cancer screening, there is a waste of resources in conventional dimethylsiloxane powder. Objective to find a more economical and effective method for the use of dimethylsiloxane powder. Methods 275 patients who underwent colonoscopy in the Fifth people's Hospital of Chongqing from January 2015 to June 2016 were selected as subjects. The subjects were randomly divided into two groups: experimental group (136 cases) and control group (139 cases). During intestinal preparation, the test group only took polyethylene glycol 4000 powder, while the control group received dimethylsiloxane powder after taking polyethylene glycol 4000 powder, and both groups were given dimethylsiloxane oil powder after colonoscopy examination, if the intestinal foam was found, both groups were treated with dimethylsiloxane oil powder and water. The grades of intestinal foam in the two groups, the foaming condition of the intestine at the time of endoscopy, the time of colonoscopy and the amount of dimethylsiloxane powder were recorded. Results according to the exclusion criteria, 7 patients were excluded, and 268 patients were included in the study group (132 cases) and the control group (136 cases). The intestinal foam grade in the experimental group was larger than that in the control group, and the amount of dimethylsiloxane powder was smaller than that in the control group (P0.05); there was no significant difference in colonoscopy time between the two groups (P0.05). The foaming condition of intestinal tract in both groups was up to the standard at the time of devitalization. Conclusion the modified method of using dimethylsiloxane oil powder (only using dimethylsiloxane oil powder and water for washing during endoscopy) can not only meet the requirements of colonoscopy without foaming in colorectal cancer screening, but also do not prolong the time of colonoscopy. The use of dimethylsiloxane powder is also significantly reduced, easy to use, can be used in colorectal cancer screening in the future.
【作者單位】： 重慶市第五人民醫(yī)院消化內(nèi)鏡中心;
【分類(lèi)號(hào)】：R574.62;R735.3

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