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水灌注联合消泡剂在结肠镜检查中的疗效

Efficacy of water infusion combined with defoamers in colonoscopy.

作者信息

Li Jian, Chen Jun-Ping, Lai Chun-Han, Fu Lian, Ji Yong

机构信息

Department of Gastroenterology, Nanhai Family Practice Hospital (Nanhai Guicheng Hospital), Foshan 528000, Guangdong Province, China.

Department of Internal Medicine, Nanhai Family Practice Hospital (Nanhai Guicheng Hospital), Foshan 528000, Guangdong Province, China.

出版信息

World J Gastrointest Surg. 2025 Mar 27;17(3):99784. doi: 10.4240/wjgs.v17.i3.99784.

Abstract

BACKGROUND

Currently, colonoscopy still needs continuous optimization and exploration of novel alternative approaches to enhance the experience of patients during colonoscopy.

AIM

To analyze the efficacy of water infusion combined with defoamers in colonoscopy.

METHODS

This study included 97 patients undergoing colonoscopy from January 2024 to June 2024. The participants were categorized into two groups, namely, the control group ( = 47), who underwent conventional colonoscopy, and the experimental group ( = 50), who received colonoscopy using water injection combined with defoamers. A comparative analysis was then conducted on the disease detection rate (colonic polyps, colonorrhagia, colonic ulcers, colonic mucosal lesions, and others), colonoscopy duration, abdominal pain [visual analog scale (VAS)], Boston bowel preparation scale (BBPS), self-rating anxiety scale (SAS), bowel preparation comfort, complications (intestinal perforation, bleeding, nausea and vomiting, abdominal pain, and abdominal distension), and patient satisfaction.

RESULTS

The experimental group demonstrated a significantly higher total disease detection rate, BBPS scores, and patient satisfaction compared with the control group. Further, the research group exhibited shorter colonoscopy duration, lower VAS and SAS scores and total complication rate, and better patient comfort and satisfaction.

CONCLUSION

These results indicate that the combination of water injection and defoamers exhibited an overall better therapeutic effect than conventional colonoscopy, mainly reflected in higher disease detection rate, faster examination efficiency, lower abdominal pain, anxiety, and complication incidences, and significantly better bowel preparation, comfort, and patient satisfaction.

摘要

背景

目前,结肠镜检查仍需不断优化并探索新的替代方法,以提升患者在结肠镜检查过程中的体验。

目的

分析注水联合消泡剂在结肠镜检查中的疗效。

方法

本研究纳入了2024年1月至2024年6月期间接受结肠镜检查的97例患者。参与者被分为两组,即对照组(n = 47),接受传统结肠镜检查;实验组(n = 50),接受注水联合消泡剂的结肠镜检查。然后对疾病检出率(结肠息肉、结肠出血、结肠溃疡、结肠黏膜病变等)、结肠镜检查时长、腹痛[视觉模拟评分法(VAS)]、波士顿肠道准备量表(BBPS)、自评焦虑量表(SAS)、肠道准备舒适度、并发症(肠穿孔、出血、恶心呕吐、腹痛、腹胀)及患者满意度进行比较分析。

结果

与对照组相比,实验组的总疾病检出率、BBPS评分及患者满意度显著更高。此外,研究组的结肠镜检查时长更短,VAS和SAS评分及总并发症发生率更低,患者舒适度和满意度更高。

结论

这些结果表明,注水联合消泡剂的总体治疗效果优于传统结肠镜检查,主要体现在更高的疾病检出率、更快的检查效率、更低的腹痛、焦虑及并发症发生率,以及显著更好的肠道准备、舒适度和患者满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d692/11948134/f86448f1e470/99784-g001.jpg

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