辅助电子结肠镜进镜腹部按压器的研制与应用

目的 评价长期便秘行结肠镜检查患者腹部按压器的研制及其辅助电子结肠镜进镜的临床应用效果。方法 将符合纳入标准的长期便秘患者、镜检时需要人力按压的结肠镜检查患者150例,采用随机数字表法分为对照组和观察组各75例,对照组采用传统人力行腹部按压,观察组采用腹部按压器代替人力行腹部按压。比较2组患者进镜时间、检查医师进镜难易度评分。结果 2组患者均顺利完成检查,但是2组进镜时间比较,差异有统计学意义（P<0.05）;2组术中生命体征及检查医师进镜难易度评分比较,差异无统计学意义（P>0.05）。结论 腹部按压器可安全有效用于电子结肠镜检查,提高临床工作效率。     

放松音乐对结肠镜检查患者疼痛影响的研究

目的探讨戴耳机听音乐与播放背景音乐对减轻结肠镜检查患者疼痛的效果。方法将180例接受结肠镜检查患者随机分为戴耳机听音乐组、听背景音乐组和对照组各60例。戴耳机听音乐组患者在测量生命体征后即戴上耳机听放松音乐，听背景音乐组患者在测量生命体征后即开始听用CD机播放的放松音乐，对照组患者不听音乐。应用疼痛数字分级法评价3组患者结肠镜检查中的疼痛程度，进镜前、后心率、血压、血氧饱和度变化及前2组对音乐的评价。结果戴耳机听音乐组和听背景音乐组的疼痛评分显著低于对照组，差异有统计学意义（P〈0.05）；戴耳机听音乐组疼痛评分较听背景音乐组低，但差异无统计学意义（P〉0.05）；对照组检查后心率比检查前快，差异有统计学意义（P〈0.05）。结论放松音乐对结肠镜检查患者疼痛具有一定缓解作用，听背景音乐是一种实施方便、经济的缓解结肠镜检查患者疼痛有效方法之一。     

注水式结肠镜在肠镜检查的应用价值研究

目的 探讨注水式结肠镜在肠镜检查中的应用效果。方法 选择2020年6月～2020年12月在我院接受肠镜检查的患者60例,采用随机数字表法分为观察组和对照组各30例。对照组采用传统气式结肠镜检查,观察组采用注水式结肠镜检查,对比两组进镜时间、退镜时间,检查后疼痛程度及检查中辅助操作使用情况。结果 观察组进镜时间、退镜时间均长于对照组,差异有统计学意义(P0.05);检查后,观察组视觉模拟评分法(VAS)评分较低于照组,差异有统计学意义(P0.05);两组检查中辅助操作使用率对比,差异无统计学意义(P0.05)。结论 肠镜检查中应用注水式结肠镜,可有效减轻患者疼痛程度,但会延长检查时进镜、退镜时间。     

注水结肠镜对患者疼痛及检查时间的影响

选取于我院消化内镜室接受结肠镜检查的患者282例,随机分为注水组133例和注气组149例,比较两组检查方法进镜时间、进镜深度及腹部疼痛情况。结果注水组进镜时间明显短于注气组,差异具有统计学意义(P<0.05);注水组疼痛程度明显低于注气组,差异具有统计学意义(P<0.05)。注水结肠镜可缩短结肠镜检查时间,减少患者痛苦,有较高临床应用价值。     

自制透明帽在普通单人结肠镜检查中的临床应用价值

目的 探讨在普通单人结肠镜检查中应用自制透明帽的临床价值。方法 选择于该院内镜中心行普通结肠镜检查的患者282例,随机分为自制透明帽组（透明帽组,140例）和无透明帽组（对照组,142例）。所有结肠镜检查均由同一经验丰富的高级职称医师完成,比较两组患者的基础临床资料、进退镜时间、息肉位置、息肉检出例数和息肉直径等。结果 透明帽组进镜至回盲瓣时间为（6.21±2.43） min,短于对照组的（6.85±2.71） min (P <0.05),两组患者盲肠插入成功率和退镜时间比较,差异均无统计学意义（P> 0.05）。透明帽组和对照组息肉检出率分别为47.86%和35.21%,差异有统计学意义（P <0.05）。透明帽组的小息肉检出率（直径<5 mm）高于对照组（P <0.05）。此外,在升结肠和乙状结肠的息肉检出率上,透明帽组高于对照组（P <0.05）,其他部位则差异无统计学意义（P> 0.05）。在检查过程中和检查后,透明帽组和对照组均未出现不良事件（出血和穿孔）。结论 自制透明帽辅助结肠镜检查可有效减少普通单人结肠镜的进镜时间,提高升结肠和...     

透明帽在单人肠镜检查中应用的随机对照研究

目的 探讨透明帽辅助单人结肠镜在进镜操作及退镜中腺瘤检出率方面的临床应用价值。方法 根据有无透明帽将行结肠镜检查患者随机分为透明帽组（422例）和对照组（429例）,所有经内镜诊断确诊或可疑为结直肠腺瘤样的息肉均予以活检或肠镜下治疗予以切除,术后病理证实为腺瘤样息肉或腺瘤样息肉伴癌变。比较两组患者的一般资料、进镜时间、退镜时间、肠道清洁度评分、患者疼痛评分、腺瘤检出率、人均腺瘤检出数量等。结果 两组患者在回肠末端插入成功率、进镜时间、退镜时间方面差异无统计学意义（P>0.05）,但透明帽组患者的腹部疼痛评分高于无透明帽组,差异有统计学意义（P<0.05）。两组共检出存在≥1个腺瘤的患者355例,检出腺瘤个数746个。患者总体腺瘤检出率41.7%,透明帽组腺瘤检出率高于对照组（44.3%VS. 39.2%）,但差异无统计学意义（P=0.144）。透明帽组人均腺瘤检出个数高于对照组（1.02 VS. 0.74）,差异有统计学意义（P<0.05）。两组患者均未发生出血、穿孔等并发症。结论 透明帽辅助肠镜检查提高患者腺瘤检出个数,对于接受非麻醉肠镜检查的患者,透明帽肠镜检查使...     

放松音乐对结肠镜检查患者疼痛影响的研究

目的 探讨戴耳机听音乐与播放背景音乐对减轻结肠镜检查患者疼痛的效果.方法 将180例接受结肠镜检查患者随机分为戴耳机听音乐组、听背景音乐组和对照组各60例.戴耳机听音乐组患者在测量生命体征后即戴上耳机听放松音乐,听背景音乐组患者在测量生命体征后即开始听用CD机播放的放松音乐,对照组患者不听音乐.应用疼痛数字分级法评价3组患者结肠镜检查中的疼痛程度,进镜前、后心率、血压、血氧饱和度变化及前2组对音乐的评价.结果 戴耳机听音乐组和听背景音乐组的疼痛评分显著低于对照组,差异有统计学意义(P＜0.05);戴耳机听音乐组疼痛评分较听背景音乐组低,但差异无统计学意义(P＞0.05);对照组检查后心率比检查前快,差异有统计学意义(P＜0.05).结论 放松音乐对结肠镜检查患者疼痛具有一定缓解作用,听背景音乐是一种实施方便、经济的缓解结肠镜检查患者疼痛有效方法之一.     

丙泊酚和咪唑安定在结肠镜检查中的应用探讨

目的 探讨结肠镜检查中使用丙泊酚和咪唑安定的可行性、安全性和效果。方法 633例患者随机分成无痛组（n=410）和对照组（n=223），无痛组静脉推注稀释后的咪唑安定和丙泊酚至患者进入4级镇静状态后行结肠镜检查，对照组常规进行结肠镜检查。观察2组患者对检查的耐受性、成功率、进镜时间和患者的BP、P、SpO2。结果 无痛组患者检查的进镜时间明显缩短，患者的耐受性明显优于对照组（P〈0．01），无痛组的平均动脉压各时段无明显变化（P〉0．05），对照组的平均动脉压变化明显（P〈0、01）。结论 丙泊酚和咪唑安定在结肠镜检查中可以减少病人的痛苦，缩短进镜时间，安全有效。     

温水灌注法在困难结肠镜检查中的应用研究

目的研究温水灌注法对困难结肠镜检查中的成功率、插镜时间、操作难易度及患者耐受度等方面的影响。方法非麻醉结肠镜检查的排便困难、肠易激综合征(IBS)和既往有盆腔/腹部手术史患者200例,随机分为温水灌注组(实验组)和传统注气法组(对照组),比较两组患者插镜成功率、插镜时间及患者耐受程度等方面的差异。结果 200例患者完成实验,均未发生肠穿孔等并发症。实验组的全结肠检查成功率、达盲时间、操作者满意度和再检意愿均明显高于对照组(P0.05)。在腹部按压和体位变换使用率、腹痛评分方面,实验组明显低于对照组(P0.05)。两组息肉检出率差异无统计学意义(P0.05)。结论温水灌注肠镜能有效提高困难肠镜的患者耐受度、加快插管进程,提高工作效率,是一种理想的进镜法,值得推广。     

结直肠术后患者结肠镜检查前的肠道准备方法探讨

目的改进结直肠术后患者肠道准备方法,提高结肠镜检查质量。方法选择拟行结肠镜检查的结直肠术后患者100例,分为两组,各50例。A组患者(同术前准备方法)结肠镜检查前5 h口服复方聚乙二醇电解质散(SF-PEG)328.8 g(3 000 ml);B组患者结肠镜检查前1日3餐后2 h分别服用SF-PEG27.4 g(250 ml),检查前5 h口服50%硫酸镁(MgSO4)100 ml,再喝温开水1 000 ml,至排泄液似清水样。服药后5 h行结肠镜检查。应用Boston肠道准备量表(BBPS)评分,对肠腔内气泡进行评分,比较两组患者肠道准备有效性、耐受性及安全性。结果 B组的结肠清洁程度BBPS总体评分(8.50±0.35)分,高于A组(7.35±1.25)分;B组进镜时间(3.85±1.20)min和退镜时间(6.25±0.60)min,少于A组进镜时间(5.35±1.75)min和退镜时间(8.20±0.85)min,差异均有统计学意义(P0.05)。B组患者肠道准备接受率、再次肠道准备接受率和总体不良反应评分分别为96.0%、94.0%和(1.35±0.05)分;A组患者分别为86.0%、72.0%和(1.75±0.30)分;差异均有统计学意义(P0.05),B组优于A组。结论结直肠术后患者肠镜检查前的肠道准备,采用间断冲击口服小剂量复方SF-PEG联合MgSO4,效果优于常规剂量。     

The effect of self-selected music during colonoscopy on anxiety, heart rate, and blood pressure.

The purpose of this study was to examine the effects of music therapy on self-reported and physiological signs of anxiety among ambulatory patients undergoing colonoscopy. Thirty-two patients were randomly assigned to either an experimental group who listened to music during the colonoscopy or a standard procedure no music control group. Before and after the procedure, subjects completed the State Anxiety Inventory. Physiological signs of anxiety, including heart rate and blood pressure, were monitored at four time points during the procedure. Repeated measures analysis of variance indicated a significant group by time interaction on the physiological signs of anxiety. Post hoc analysis indicated that heart rate and systolic and diastolic blood pressure significantly decreased among the music intervention group during the procedure while remaining unchanged in the control group. No significant effect of the treatment was observed on the State Anxiety Inventory, although a trend indicated that the music intervention decreased state anxiety. Finally, the group who received the music intervention required less physician-administered sedation during the procedure than did the control group. These findings indicate that music therapy has the potential to reduce physiological indicators of anxiety and the need for sedation among individuals undergoing a colonoscopy.     

Using Yoga Nidra Recordings for Pain Management in Patients Undergoing Colonoscopy

ObjectiveThe objective of this study was to compare the effects produced by yoga nidra and relaxation music for pain management in patients undergoing colonoscopy. A quasiexperimental design was used.MethodsIn total, 144 patients who were scheduled to undergo colonoscopy were assigned to three different treatment groups. Group 1 was a no treatment control group, group 2 was delivered relaxing music, and group 3 was delivered a yoga nidra recording. The primary outcome was pain score. Secondary treatment efficacy measures were an overall patient satisfaction score, a willingness to repeat the procedure score, and a perceived colonoscope insertion difficulty score. Secondary objective treatment effect measures were systolic and diastolic blood pressure and total procedure duration.ResultsThe patients' perceptions of pain and the endoscopist's perceived colonoscope insertion difficulty were significantly reduced by both the music and the yoga nidra recording (p < .05). Overall patient satisfaction was significantly improved by both the music and the yoga nidra recording (p < .05). Patients' willingness to repeat the procedure and the total procedure duration were significantly improved and reduced, respectively, by the yoga nidra recording (p < .05), but there were no significant differences compared to the music group. There were no statistically significant differences among the three groups in terms of blood pressure.ConclusionsBoth the yoga nidra recording and the relaxation music helped reduce the pain participants undergoing colonoscopy experienced. The yoga nidra recording was the most successful intervention among the three groups.     

The Effect of Music Listening on Pain in Adults Undergoing Colonoscopy: A Systematic Review and Meta-Analysis

PurposeTo investigate the role of music listening in reducing pain in adults undergoing colonoscopy.DesignThis is a systematic review and meta-analysis of randomized control trials (RCTs) that evaluated the effect of music in reducing pain in adults undergoing colonoscopy.MethodsWe searched CINAHL, Embase, MEDLINE, PsycINFO, and PubMed for RCTs that reported on the effects of music listening in reducing pain in adult patients undergoing colonoscopy from database inception to March 15, 2020, when the search was completed. Studies published in English with adult participants testing the efficacy of music during colonoscopy were eligible for inclusion. Studies reporting the results of combined nonpharmacological interventions were excluded. The methodological quality of each included RCT was assessed using the Cochrane Collaboration tool for assessing the risk of bias. Two authors independently abstracted data and assessed risks of bias.FindingsSeven RCTs with a total of 622 adult participants fulfilled our inclusion criteria and were, therefore, included. A random-effects model estimated the summary effect of the 7 included studies as −1.83 ± 0.98, P = 0.06.ConclusionsAlthough our meta-analysis demonstrated a small treatment effect, this effect was clinically not statistically significant. Substantial heterogeneity among the included trials limits the certainty of our findings. Additional trials investigating the effects of listening to music on pain in adults undergoing colonoscopy are needed to generate further evidence to establish the analgesic effect of music in adults undergoing colonoscopy.     

个体化音乐干预对肺癌术后患者睡眠质量及疼痛影响的研究

目的:探讨个体化音乐干预对肺癌术后患者睡眠质量及疼痛的影响。方法:将240例患者随机分为干预组和对照组各120例。对照组给予常规术后护理,干预组增加个体化音乐干预,从术后24h开始,至术后7天转出ICU结束。所有入组患者均于转出ICU当日采用PSQI量表进行睡眠质量评定;采用BPI量表于术后24h、48h、72h、96h、120h、144h、168 h评估两组患者疼痛程度,并于干预前(术后24 h)及干预后(术后168 h)评估两组患者疼痛对生活质量的影响。结果:干预组睡眠障碍发生率(42.1%)明显低于对照组(56.3%),差异有统计学义(P0.05);干预组在主观睡眠质量、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能发PSQI总分方面均有所改善(P0.05);在入睡时间方面无改善(P0.05);两组患者术后24h、48 h、72h疼痛评分无显著差异(P0.05);术后96h、120h、144h、168h干预组患者疼痛评分明显低于对照组,差异有统计学意义(P0.05);术后168h干预组患者生活质量各项评分(日常生活、情绪、活动能力、人际关系、睡眠、兴趣)均明显低于对照组,差异有统计学意义(P0.05)。结论:个体化音乐干预可以改善肺癌患者术后入住ICU期间的睡眠质量,减轻患者疼痛,有利于患者术后恢复。     

结肠镜检查病人人文关怀护理的效果观察

目的探讨人文关怀护理在结肠镜检查中的作用。方法将220例病人按提出申请的单双号随机分为两组,每组110例。单号病人按常规护理方法进行检查为常规护理组,双号病人在常规护理基础上加人文关怀护理为人文关怀护理组。结果两组病人在检查过程中腹痛程度,紧张、恐惧情况以及检查成功所需的时间均有显著性差异(P<0.01)。结论人文关怀护理在行结肠镜检查过程中明显地缓解腹痛的程度,提高病人对疼痛的耐受性,消除紧张、恐惧心理,有效地提高检查成功率和缩短检查所需的时间。     

音乐疗法对肠镜检查患者焦虑干预的效果观察

目的 观察音乐疗法对肠镜检查患者焦虑干预的效果.方法 将门诊100例结肠镜检查患者按肠镜检查顺序分为观察组50例和对照组50例,对照组患者按常规护理,观察组患者用音乐疗法干预.评价两组患者检查前和检查中焦虑程度、血压及心率变化和对检查中不适的耐受性.结果 观察组患者检查过程中血压、心率更趋于平稳,耐受性明显提高,焦...     

综合护理干预在结肠镜检查中的应用

目的:探讨综合护理干预在结肠镜检查中的应用效果.方法:将120例需行结肠镜检查的患者随机分为实验组和对照组各60例,对照组采用常规护理,实验组在此基础上加综合护理.结果:实验组在检查过程中,腹痛和紧张恐惧程度、不良反应、肠镜前端达到回盲部的时间、检查成功率均优于对照组(P＜0.05).结论:综合护理干预在结肠镜检查中明显减轻患者腹痛程度,减轻紧张、恐惧心理,减少并发症的发生,缩短检查所需时间,能有效提高检查成功率.     

匹维溴铵在拟诊腹泻型肠易激综合征患者结肠镜检查肠道准备中的应用

目的:探讨匹维溴铵在拟诊腹泻型肠易激综合征患者结肠镜检查肠道准备中的应用价值。方法:选取2018年7月～2019年11月收治的拟诊腹泻型肠易激综合征计划行结肠镜检查患者80例为研究对象,随机分为匹维溴铵组和常规组,各40例。常规组给予50%硫酸镁200 ml进行肠道准备,匹维溴铵组在常规组基础上联合口服匹维溴铵进行肠道准备。观察两组患者肠道清洁质量、进镜时间、技术难度、结肠镜完成率、术中肠痉挛、术中腹痛和术后2 h腹部不适发生情况。结果:两组肠道清洁质量评分和结肠镜完成率比较,差异无统计学意义(P0.05)。与常规组比较,匹维溴铵组进镜时间显著缩短,技术难度显著降低,术中肠痉挛评分显著下降,术中腹痛和术后2 h腹部不适评分显著降低,差异均具有统计学意义(P0.05)。结论:拟诊腹泻型肠易激综合征患者肠道准备中应用匹维溴铵可以降低结肠镜技术难度,提高耐受性,减轻术中肠痉挛,减轻术中腹痛和术后腹部不适。