普通结肠镜检查可调式体位保护带的制作及应用

Preparation and application of adjustable body position protection belt for ordinary colonoscopy

目的探讨可调式体位保护带在普通结肠镜检查患者中的应用效果。方法采用随机对照试验方法,选取2022年1—10月在嘉兴市第一医院内镜中心行普通结肠镜检查的180例患者为研究对象,按照随机数字表法分为试验组和对照组各90例。对照组采用传统的结肠镜体位摆放方法,试验组在此基础上运用可调式体位保护带辅助患者体位摆放。在操作医生和护士相同的情况下,比较2组患者的普通结肠镜检查体位维持率、盲肠插管时间、术中疼痛程度和再次检查接受率。结果试验组患者的普通结肠镜检查体位维持率为97.78%(88/90),对照组为58.89%(53/90),差异有统计学意义(χ^(2)=37.84,P<0.05)。试验组患者盲肠插管时间为(7.84±4.39)min,与对照组的(10.13±5.85)min比较,差异有统计学意义(t=2.98,P<0.05)。试验组患者术中疼痛评分为(2.96±1.39)分,与对照组的(4.28±1.42)分比较,差异有统计学意义(t=6.31,P<0.05)。试验组患者再次结肠镜检查的接受率为88.89%(80/90),对照组为72.22%(65/90),差异有统计学意义(χ^(2)=7.98,P<0.05)。结论在患者行普通结肠镜检查前使用可调式体位保护带辅助体位摆放,能够提高普通结肠镜检查过程中的体位维持率,缩短盲肠插管时间,减轻术中疼痛程度,患者再次接受结肠镜检查的意愿也更高。

Objective To explore the application effect of adjustable body position protection belt in patients undergoing not painless colonoscopy.Methods A randomized and controlled trial was used,a total of 180 patients who planned to undergo not painless colonoscopy in the Endoscopy center,the First Hospital of Jiaxing from January to October 2022 were selected as the research objects.They were divided into the experimental group and the control group by the random number table method,with 90 cases in each group.The control group adopted the traditional method of colonoscopy body position placement,and on this basis,the experimental group used the adjustable body position protection belt to assist the patient body position placement.The maintenance rate of body position in colonoscopy,the cecal intubation time,the degree of intraoperative pain and the acceptance rate of re-examinationunder the same operating doctor and nurse were compared between the two groups.Results The maintenance rate of body position in colonoscopy was 97.78%(88/90)in the experimental group and 58.89%(53/90)in the control group,the difference was statistically significant(χ^(2)=37.84,P<0.05).The cecal intubation time was(7.84±4.39)min in the experimental group and(10.13±5.85)min in the control group,the difference was statistically significant(t=2.98,P<0.05).The intraoperative pain score was 2.96±1.39 in the experimental group and 4.28±1.42 in the control group,the difference was statistically significant(t=6.31,P<0.05).The acceptance rate for re-colonoscopy was 88.89%(80/90)in the experimental group and 72.22%(65/90)in the control group,the difference was statistically significant(χ^(2)=7.98,P<0.05).Conclusions Use of adjustable body position protection belt to assist body position placement before the patients undergoing not painless colonoscopy,it can improve the maintenance rate of body position during not painless colonoscopy,shorten the time of cecal intubation,reduce the intraoperative pain degree,and patients also have a higher willingness to undergo colonoscopy again.