中老年患者无痛结肠镜检查术后腹痛、腹胀的调查分析

目的调查中老年患者无痛结肠镜检查术后腹痛、腹胀的现状,并分析其影响因素。方法采用方便抽样方法,选取243例中老年结肠镜检查患者为观察对象,采用一般资料问卷、自制胃肠镜检查术后腹部情况调查问卷进行调查,并分析其相关影响因素。结果中老年患者结肠镜检查术后1 h、术后1.5 h、术后2 h的腹痛、腹胀发生率分别为37.3%、26.3%、16.0%,均以轻度为主;多因素Logistic回归分析显示,检查持续时间、是否息肉切除术以及性别是其术后发生腹痛、腹胀的影响因素。结论中老年患者行无痛结肠镜检查术后腹痛、腹胀发生率较高,检查持续时间、息肉切除术及性别是主要因素影响。

Objective To investigate the present status on abdominal discomfort of middle-aged and elderly patients after painless colonoscopy and to analyze its influencing factors.Methods 243 middle-aged and elderly patients were collected and analyzed.A survey using a general information questionnaire and a self-made questionnaire on postoperative abdominal conditions after gastroscopy was conducted,and the relevant influencing factors were analyzed.Results The rates of incident of abdominal discomfort at an hour,1.5 hours and 2 hours after painless colonoscopy were 37.3%,26.3%and 16.0%,which were all mainly mild.Mu ltivariate Logistic regression analysis showed that gender,duration of examination,and polypectomy were influencing factors of abdominal discomfort of middle-aged and elderly patients after painless colonoscopy.Conclusion Abdominal discomfort of middle-aged and elderly patients after painless colonoscopy is in higher level,which is influenced by gender,duration of examination,and polypectomy.