结肠镜操作的现状调查

Investigation on the current situation of colonoscopy

目的研究结肠镜的操作现状。方法2019年10月至2020年2月采用网络自填问卷形式,筛选了全国5个不同地域、不同经济水平的具有代表性的省及直辖市(北京市、陕西省、山西省、广东省及辽宁省),在这5个地区选取不同级别并有正规内镜室的41所医院进行问卷调查。内容包括结肠镜操作的体验、结肠镜设备操作性能的评价及相关躯体疲劳度。共收集有效问卷328份进行调查。结果研究对象手部、腰部、腿部更易发生损伤及整体疲劳度增加。有明显疲劳或已形成损伤的部位频次最高的依次是左手大拇指根部(71名、21.6%),大拇指第一关节(61名、18.6%),大拇指指尖(53名、16.2%),腰部(51名、15.6%)与左肩部(42名、12.8%)等。42.1%~61.6%的结肠镜操作者对肠镜手柄的体量、给气给水钮、锁止开关等设计不满意。238名(72.6%)认为肠镜手柄需要改良,186名(56.7%)支持开发肠镜手柄智能助力系统。结论结肠镜操作会造成明显的躯体疲劳感及肢体关节不适,通过智能系统进行肠镜手柄的改良很有必要。

Objective To study the current situation of colonoscopy.Methods From October 2019 to February 2020,the questionnaire was filled out through the Internet.This study screened five representative provinces and municipalities(Beijing,Shaanxi Province,Shanxi Province,Guangdong Province,and Liaoning Province)with different regions and economic levels in the country.In these five regions,41 hospitals with different levels and regular endoscopy rooms were selected for questionnaire survey.The content includes the experience of colonoscopy operation,the evaluation of the operation performance of colonoscopy equipment and the related physical fatigue.A total of 328 valid questionnaires were collected for investigation.Results Study subjects were more prone to injuries and increased overall fatigue in the hands,waist,and legs.The parts with obvious fatigue or damage were the most frequent in the base of the thumb of the left hand(71 people,21.6%),the first joint of the thumb(61 people,18.6%),and the tip of the thumb(53 people,16.2%),waist(51 people,15.6%),and left shoulder(42 people,12.8%).42.1%-61.6%of colonoscopy operators were dissatisfied with the design of the colonoscope handle,gas and water buttons,and locking switches.A total of 238 people(72.6%)believed that the colonoscope handle needed to be improved,and 186 people(56.7%)supported the development of the colonoscope handle intelligent assist system.Conclusion Colonoscopy operation will cause obvious physical fatigue and discomfort of limbs and joints.It is necessary to improve the colonoscopy handle through the intelligent system.