膝胸卧位改善无痛胃肠镜联合检查术后腹痛腹胀的效果观察

Observation on Effect of Knee⁃Chest Position on Improving Abdominal Pain and Abdominal Disten⁃sion After Painless Gastroenteroscopy

目的 比较膝胸卧位与常规肛管排气对改善无痛胃肠镜联合检查术后腹痛腹胀的效果,以减轻检查者痛苦、减少并发症。方法 采用目的抽样法,选取2021年1-12月于空军军医大学第一附属医院消化内镜中心接受无痛胃肠镜联合检查术后腹痛腹胀评分≥4分的受检者100例作为研究对象,采用随机数字表法将其分为观察组和对照组,每组各50例。观察组采用膝胸卧位排气,对照组采用一次性肛管排气,比较两组受检者首次排气时间、干预时长、排气前后腹痛腹胀评分变化及受检者对干预措施的满意度。结果 两组受检者干预前腹痛腹胀评分差异无统计学意义,干预后观察组腹痛腹胀评分低于对照组,差异有统计学意义(P<0.05);观察组首次排气时间早于对照组,干预时长短于对照组,对干预措施的满意度高于对照组,差异均有统计学意义(P<0.05)。结论 膝胸卧位能显著改善无痛胃肠镜联合检查术后受检者的腹痛腹胀症状,效果优于肛管排气,且受检者的满意度高,值得临床推广。

Objective To compare the effects of knee⁃chest position and conventional blind enema on improving abdominal pain and abdominal distension after painless gastroenteroscopy,so as to alleviate the pain of examined patients and reduce complications.Methods From January to December 2021,subjects who received painless gastroenteroscopy in the Digestive Endoscopy Center of the First Affiliated Hospital of Air Force Medical University and had abdominal pain and abdominal distension scores≥4 were selected.They were randomly divided into the observation group(n=50)and the control group(n=50).Subjects in the observation group were exhausted in the knee⁃chest position,while those in the control group were exhausted by a disposable blind enema.The first exhaust time,intervention duration,changes in abdominal pain and abdominal distension scores before and after exhaust and subject satisfaction intervention measures were compared between the two groups.Results There was no significant difference in abdominal pain and distension scores between the two groups before the intervention,but the scores in the observation group were lower than those in the control group after the intervention,with statistical significance(P<0.05).The first exhaust time of the observation group was earlier than that of the control group,the intervention duration was shorter than that of the control group,and the satisfaction with intervention measures was higher than that of the control group,with statistical significance(P<0.05).Conclusion Knee⁃chest position can significantly improve the symptoms of abdominal pain and abdominal distension after painless gastroenteroscopy,with a superior effect to blind enema and higher patient satisfaction,which is worthy of clinical promotion.