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无镇静剂作用下结肠镜检的困难和痛苦预测因素的前瞻性评估
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作者 takahashi y. Tanaka H. +2 位作者 Kinjo M. Sakumoto K. 赵萌 《世界核心医学期刊文摘(胃肠病学分册)》 2005年第11期21-22,共2页
PURPOSE: Colonoscopy can be painful for patients and difficult for colonoscopists; however, it is hard to predict how painful or difficult the examination will be. This study was designed to identify factors that pred... PURPOSE: Colonoscopy can be painful for patients and difficult for colonoscopists; however, it is hard to predict how painful or difficult the examination will be. This study was designed to identify factors that predict pain and difficulty during sedation-free colonoscopy. METHODS: A total of 848 consecutive sedation-free colonoscopies were evaluated in a prospective manner. Factors were recorded, including patient pain, intubation time, demographic data, history of abdominal surgery, bowel preparation status, diverticular disease, bowel habits, anxiety level, and number of previous colonoscopies. These factors were analyzed to determine their association with pain and difficulty. RESULTS: Almost all colonoscopies (845/848; 99.6 percent) were successful. Univariate analyses showed that lower body mass index, younger age, female gender, anxiety level, first time, intubation time, preparation status, previous hysterectomy, and previous gynecologic surgery were predictors of patient pain, and lower body mass index, female gender, anxiety level, preparation status, previous hysterectomy, previous gynecologic surge-ry, and constipation were predictors of difficulty of intubation. Multivariate logistic regression analyses revealed that lower body mass index, younger age, intubation time, preparation status, previous hysterectomy, and antispasmodic agent use were predictors of patient pain, and lower body mass index, female gender, constipation, preparation status, and previous hysterectomy were predictors of difficulty of intubation. CONCLUSIONS: By use of intubation time and patient pain, several patient characteristics were identified that may predict technical difficulty and pain associated with the procedure. These findings have implications for the practice and teaching of colonoscopy. 展开更多
关键词 结肠镜检 插管时间 肠道准备 插管困难 统计学资料 子宫切除 肠憩室病 腹部手术 记录资料 因素分析
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急性胰腺炎患者并发局部缺血性小肠结肠炎
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作者 takahashi y. Fukushima J.-I. +1 位作者 Fukusato T. 廖新华 《世界核心医学期刊文摘(胃肠病学分册)》 2006年第1期51-52,共2页
Background: A considerable number of acute pancreatitis cases have been reported to be complicated by nonocclusive mesenteric ischemia. However, no reports have ever referred to the incidence of ischemic enterocolitis... Background: A considerable number of acute pancreatitis cases have been reported to be complicated by nonocclusive mesenteric ischemia. However, no reports have ever referred to the incidence of ischemic enterocolitis in patients with acute pancreatitis, using a series of autopsy cases. Here, we report our review of autopsy cases of patients with acute pancreatitis to examine the incidence of associated ischemic enterocolitis. Methods: The intestinal and pancreatic slides of 48 autopsy cases of patients with acute pancreatitis were reviewed and the incidence of ischemic enterocolitis was determined. Clinical case records were also reviewed. Results: Thirteen (27% ) of 48 autopsy cases of patients with acute pancreatitis were complicated by ischemic enterocolitis. The frequency of shock was significantly higher in patients with ischemic enterocolitis than in those without ischemic enterocolitis. The intestinal lesion was diffuse in many cases and gangrene was not an unusual finding. Conclusions: The incidence of ischemic enterocolitis in patients with acute pancreatitis was much higher than that in the previous reports. Clinicians who treat patients with acute pancreatitis should consider ischemic enterocolitis as one of the frequent and severe complications of this condition. 展开更多
关键词 休克发生率 非梗阻性 肠系膜缺血 病例记录 弥漫性 临床医师
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术前超声评估是检测单侧腹股沟斜疝患儿对侧开放性鞘状突出的有用方法
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作者 Hata S. takahashi y. +1 位作者 Nakamura T. 王一飞 《世界核心医学期刊文摘(儿科学分册)》 2005年第2期51-52,共2页
背景/目的:为了分析超声扫描(US)方法在术前确定对侧开放性鞘状突出(CPPV)中的应用价值,作者对使用US方法检测临床诊断为单侧腹股沟斜疝患儿的CPPV结果进行了调查。
关键词 鞘状突 术前超声 临床诊断 鞘膜积水 超声扫描
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