无痛肠镜在健康体检人群中的应用价值分析

目的 探讨无痛肠镜在无症状人群体检中应用价值.方法 2014 年1月至 2015年 12 月期间,选择我院门诊及住院因健康体检行无痛电子肠镜检查者220 例为观察组,选择同期我院门诊及住院为健康体检行普通电子肠镜检查者120例为对照组.观察组体检者采用静脉推注丙泊酚的方式进行麻醉 ,对照组不注射药物,诊疗中严密观察两组患者心率、血压、血氧饱和度及不良反应,并对诊疗的满意度进行调查,同时分析两组患者肠镜的检查结果及检出率.结果 两组体检者肠镜检出率差异无统计学意义（24.10% vs 22.20%,P〉0.05）,检出率从高到低依 次为结直肠息肉、结直肠慢性炎、结肠黑变病、结直肠憩室和结直肠 癌;两组体检者检查成功率差异存在统计学意义（100% vs 90.8%,P〈0.05）;对照组体检者检查中血压、心率较检查前明显升高（P 〈 0.05）,而观察组无明显变化（P〉 0.05）;两组 受 试 者在不良反应发生率及满意度方面差异存在统计学意义（P 〈0.05）.结论 无痛肠镜在筛查健康体检者结肠疾病的方面具有检出率高、耐受性好、风险性小且满意度高的特点,值得临床推广.

Objective： To investigate the value of painless colonoscopy in physical examination of asymptomatic population. Methods： During January 2014 to December 2015,220 outpatient and inpatient healthy people in our hospital for health examination by painless electronic colonoscopy were chosed as observer group,meanwhile,120 healthy people for health examination by painless electronic were chosed as control group. Patients in the observer group were received intravenous anesthesia by propofol,while the control group were not. During examination, heart rate, blood pressure, oxygen saturation, and adverse reaction were closely observed in two groups,the satisfaction with treatment were investigated, and the outcomings of colonoscopy examination and detection rate in two groups were analyzed. Results： There is no statistically significant difference between observer group and control group in detection rate （24.10% vs 22.20%,P 〉 0.05.）,the outcomings in order of detection rate were colorectal polyps, colorectal chronic inflammation, colon melanosis, colorectal diverticulum and colorectal cancer. There is a statistically significant difference between observer group and control group in success rate of examination（100% vs 90.8%,P〈 0.05）;During examination,the blood press ure, heart rate were significantly higher than that before examination （P 〈0.05）, while there is no significant changes in the observation group （P〉 0.05）; There is a statistically significant difference between observer group and control group in adverse reactions and satisfaction （P 〈0.05）. Conclusions： Painless colonoscopy has the feature of high detection rate, well tolerated,low risk and high satisfaction, is worthy of clinical promotion.