无痛结肠镜1292例临床分析

目的 对无痛方法进行结肠镜诊治结直肠疾病的有效性、安全性等进行临床评价。方法 2578例患者，随机分为对照组1286例和无痛组1292例，观察两组患者肠镜检查中血压、心率、血氧饱和度变化及操作时间、成功率、不良反应和满意率。结果 无痛组操作过程中血压、心率、血氧饱和度较对照组稳定；操作时间两组无明显差异；无痛组成功率100％，对照组94．71％；无痛组不良反应显著低于对照组（P〈0．01）；无痛组Ⅰ级满意率95．59％，与对照组（0）比较，差异具有统计学意义（P〈0．01）。结论 无痛肠镜不仅能显著提高满意率、减少病人的痛苦，而且可提高检查成功率和减少不良反应，具有显著的临床应用价值。

Assessment to the painless colonoscopy in 1292 cases

Objective] To evaluate the efficiency and safety of painless colonoscopy. Methods] 2 578 patients for colonoscopy were divided randomly into two groups: group control (1 286 cases) and group painless colonoscopy (1 292 cases). The blood pressure, heart rate, respiratory rate, SPO2, running time, achievement ratio, adverse reaction and the ratio of satisfaction were monitored during the colonoscopy. Results] Compared to group control, the BP, HR, SPO2 were stable in group painless colonoscopy; The achievement ratio was 100%in group painless colonoscopy, which was 94.71% in group control; Adverse reaction was lower in group painless colonoscopy than in group control(P <0.01); The ratio of satisfaction were also higher in group painless colonoscopy than in group control(P <0.01). Conclusions] Colonoscopy with Painless technique not only lessen the suffering of the patients to the minimal extent who undergo colonoscopy, improve significantly the ratio of satisfaction and the achievement ratio, but also decrease the adverse reaction. Therefore, we can draw the conclusion that the painless colonocopy has the great value in diagnosis and treatment of colonel and rectal disease, and it should be generalized to application.