术中按需喷洒与术前口服二甲硅油在肠镜检查中的作用研究

Study on the Role of Intraoperative Spraying and Preoperative Oral Dimethylsilicone Oil in Colonoscopy

目的:探讨术中按需喷洒与术前口服二甲硅油在肠镜检查中的应用效果。方法:选取2020年1月至2021年6月于萍乡市人民医院行肠镜检查的无明显症状患者90例,按随机数字表法分为两组,对照组和观察组各45例。两组均使用聚乙二醇电解质散清洁肠道,对照组术前口服二甲硅油,观察组术中按需喷洒二甲硅油。比较两组患者肠道清洁分级、气泡分级、二甲硅油用量、肠镜检查操作时间、结肠息肉检出率及患者满意度。结果:两组患者肠道清洁分级相比,差异无统计学意义(P>0.05)。观察组患者气泡分级1级率为80.00 %,高于对照组的62.22 %,差异具有统计学意义(P<0.05)。观察组患者二甲硅油用量为(14.58±2.01)mL,少于对照组的(22.35±2.65)mL,进、退镜时间分别为(8.89±1.14)min、(8.33±1.08)min,短于对照组的(9.76±1.27)min、(10.27±2.04)min,差异有统计学意义(P<0.05)。观察组患者结肠息肉检出率、患者满意度为17.78 %、97.78 %,高于对照组的4.44 %、82.22 %,差异具有统计学意义(P<0.05)。结论:术中按需喷洒二甲硅油在肠镜检查中效果更佳,可减少二甲硅油用量,提高视野清晰度,缩短肠镜检查操作时间,并利于结肠息肉的检出,提高患者满意度。

Objective To investigate the effect of intraoperative spraying on demand and preoperative oral dimethylsilicone oil in colonoscopy.Methods A total of 90 asymptomatic patients who underwent colonoscopy in Pingxiang People’s Hospital from January 2020 to June 2021 were selected and divided into two groups according to random number table method,control groupwith 45 cases and the observation group with 45 cases.Both groups accepted polyethylene glycol electrolyte powder for intestinal cleansing.The control group accepted orally treated with dimethylsilicone oil before surgery,and the observation group was sprayed with dimethylsilicone oil as needed during surgery.Intestinal cleaning grading,bubble grading,dimethylsilicone oil dosage,colonoscopy operation time,colonic polyps detection rate and patient satisfaction were compared between the two groups.Results There was no statistical significance in the classification of intestinal cleanliness between the two groups (P > 0.05).The rate of bubble grade 1 in observation group was 80.00 %,which was higher than that in control group (62.22 %),and the difference was statistically significant (P < 0.05).The volume of dimethylsilicone oil in the observation group was (14.58±2.01) mL,which was less than that in the control group (22.35±2.65) mL.The entering and withdrawing times of the observation group were (8.89±1.14) min and (8.33±1.08) min respectively,which were shorter than those of the control group (9.76±1.27) min and (10.27±2.04) min respectively,and the differences were statistically significant (P < 0.05).The detection rate of colon polyps and patient satisfaction in the observation group was 17.78% and 97.78% respectively,which were higher than those of the control group (4.44% and 82.22%),with statistical significance (P < 0.05).Conclusion Dimethylsilicone oil spraying is more effective in colonoscopy,which can reduce the volume of dimethylsilicone oil,improve the clarity of visual field,shorten the operation time of colonic polyps and facilitate the detection of colon polyps,and improve the patient satisfaction.