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腹带对中心型肥胖患者结肠镜检查完成率和盲肠及回盲部插管时间的影响:一项前瞻性随机对照试验。

Effect of Abdominal Corset on Completion of Colonoscopy and Cecal and Ileocecal Intubation Time in Patients with Central Obesity: A Prospective Randomized Controlled Trial.

机构信息

Department of General Surgery, Health Sciences University, Gazi Yasargil Training and Research Hospital, 21010 Diyarbakir, Türkiye.

Department of Gastroenterology Surgery, Kartal Koşuyolu Yüksek İhtisas Education and Research Hospital, 34865 İstanbul, Türkiye.

出版信息

Ann Ital Chir. 2024;95(4):603-608. doi: 10.62713/aic.3348.

Abstract

AIM

This work investigated the effect of an abdominal corset on the colonoscopy completion rate, as well as cecum and ileum intubation time, total colonoscopy time, and pain score in centrally obese patients.

METHODS

Patients were randomized into two groups, with 50 patients in each group. A colonoscopy was performed using the abdominal corset in Group 1 and the standard method in Group 2. The comparison between the groups evaluated demographic data, procedure details, circulatory dynamics, anesthesia data, and visual analogue scale (VAS).

RESULTS

Of the patients included in the study, 60 were female, and 40 were male, with a mean age of 57.3 ± 13.6 years. Cecal intubation time (Z: -2.66 p: 0.008), total colonoscopy time (Z: -2.180 p: 0.029), number of maneuvers (χ2: 8.391 p: 0.039), and VAS (Z: -3.087 p: 0.002) were significantly lower in the abdominal corset group.

CONCLUSIONS

An abdominal corset that applies external abdominal compression reduces the cecal intubation time, the total colonoscopy time, the number of maneuvers, and the pain level.

CLINICAL TRIAL REGISTRATION

NCT03128645 (https://clinicaltrials.gov/study/NCT03128645?tab=results).

摘要

目的

本研究旨在探讨腹带对肥胖患者结肠镜检查完成率、盲肠和回肠插管时间、全结肠镜检查时间、疼痛评分的影响。

方法

将患者随机分为两组,每组 50 例。第 1 组使用腹带进行结肠镜检查,第 2 组使用标准方法。比较两组的人口统计学数据、操作细节、循环动力学、麻醉数据和视觉模拟评分(VAS)。

结果

研究共纳入 60 例女性和 40 例男性患者,平均年龄为 57.3±13.6 岁。腹带组的盲肠插管时间(Z:-2.66,p:0.008)、全结肠镜检查时间(Z:-2.18,p:0.029)、操作次数(χ2:8.39,p:0.039)和 VAS(Z:-3.08,p:0.002)均显著低于对照组。

结论

腹带施加外部腹部压力可减少盲肠插管时间、全结肠镜检查时间、操作次数和疼痛程度。

临床试验注册

NCT03128645(https://clinicaltrials.gov/study/NCT03128645?tab=results)。

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