| 二氧化碳减轻结肠镜检查术后腹痛的临床研究 |
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| 引用本文： | 范惠珍,盛建文,姚礼庆,娄新宇.二氧化碳减轻结肠镜检查术后腹痛的临床研究[J].中国临床医学,2010,17(1):42-44. |
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| 作者姓名： | 范惠珍 盛建文 姚礼庆 娄新宇 |
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| 作者单位： | 1. 江西省宜春市人民医院消化内科,江西宜春,336000
2. 复旦大学附属中山医院内镜中心,上海,200032 |
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| 基金项目： | 江西省自然基金资助项目(项目编号20031g0005700) |
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| 摘 要： | 目的：探讨二氧化碳（CO2）作为结肠镜检查膨胀气体对患者舒适度的影响及安全性。方法：选取江西省宜春市人民医院门诊及住院行结肠镜检查患者200例，分成4组：普通肠镜组、无痛肠镜组、CO2肠镜组、CO2无痛肠镜组，每组50例。前两组以空气作为膨胀气体，后两组以CO2作为膨胀气体，分别行肠镜检查。记录每组患者肠镜检查前、检查过程中及检查后的动脉血CO2分压；肠镜检查后1h摄片观察结肠膨胀程度；肠镜检查中、检查后1h、6h和24h患者的腹痛程度和腹胀程度。结果：CO2肠镜组及CO2无痛肠镜组检查前、检查中及检查后血CO2分压无明显改变（P〉0．05），与以空气作为膨胀气体的普通肠镜组及无痛肠镜组比较，均无明显差异（P〉0．05）；而检查过程中CO2肠镜组患者腹胀、腹痛明显轻于普通肠镜组（P〈0．05），采用CO2的2组检查后1h和6h的腹胀、腹痛程度以及1h后结肠膨胀程度均明显轻于空气作为膨胀气体普通肠镜组及无痛肠镜组（P〈0．05）。结论：CO2作为肠镜检查膨胀气体，能明显减轻患者结肠镜检查的痛苦，且具有很好的安全性。
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| 关 键 词： | 二氧化碳 膨胀气体 肠镜检查 腹痛 安全性 |
The Clinical Study of Carbon Dioxide to Reduce Abdominal Pain in Colonoscopy |
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| FAN Huizhen,SHENG Jianwen,YAO Liqing,LOU Xinyu.The Clinical Study of Carbon Dioxide to Reduce Abdominal Pain in Colonoscopy[J].Chinese Journal Of Clinical Medicine,2010,17(1):42-44. |
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| Authors: | FAN Huizhen SHENG Jianwen YAO Liqing LOU Xinyu |
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| Institution: | 1. Department of Gastroenterology Yichun Municipal People＇s Hospital in J iangxi Province Yichun 336000, China; 2. Endoscopy Center, Zhongshan Hospital of Fudan University, Shanghai 200032, China) |
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| Abstract: | Objective:To study the efficacy and safety of carbon dioxide as expansion gas in patients undergvent colonoscopy.Methods:A total of 200 cases from out-patient or in-patients for colonoscopy were divided into four groups(50 cases in each group),colonoscopy with air as expansion gas,colonoscopy with air as expansion gas and free-pain by narcotic,colonoscopy with carbon dioxide as expansion gas,colonoscopy with carbon dioxide as expansion gas and free-pain by narcotic.PaCO2 was detected before,during and after... |
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| Keywords: | Carbon dioxide Expansion gas Colonoscopy Abdominalpain Safety |
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