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202例结肠镜检查患者在奥替溴铵和山莨宕碱联合干预下的耐受性分析
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作者 史玉明 孔丽华 《齐齐哈尔医学院学报》 2009年第1期5-6,共2页
目的评价奥替溴铵和山莨宕碱联合应用在结肠镜检查患者中的临床价值和可行性。方法回顾性分析202例结肠镜检查患者在奥替溴铵和山莨宕碱联合干预下的耐受性程度,把耐受性程度分为完全耐受,尚能耐受,不能耐受三个层次,对结果进行分类,统... 目的评价奥替溴铵和山莨宕碱联合应用在结肠镜检查患者中的临床价值和可行性。方法回顾性分析202例结肠镜检查患者在奥替溴铵和山莨宕碱联合干预下的耐受性程度,把耐受性程度分为完全耐受,尚能耐受,不能耐受三个层次,对结果进行分类,统计。并设对照组(未进行药物干预)297例,同样进行耐受性分析。二者结果进行对比分析。结果202例药物干预组65例完全耐受,128例尚能耐受,9例不能耐受检查失败。297例对照组107例完全耐受,122例尚能耐受,68例不能耐受,统计结果显示两组在尚能耐受比率和不能耐受比率上的差异有统计学意义(P值分别小于0.05和0.01)。结论得出在奥替溴铵和山莨宕碱联合干预下结肠镜检查患者的耐受性程度得到提高,从而提高了检查成功率,减少了患者的痛苦,是临床值得推广的一种方法。 展开更多
关键词 结肠镜检查患者 奥替溴铵 山莨宕碱 联合干预 耐受性
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Listening to Turkish classical music decreases patients’anxiety,pain,dissatisfaction and the dose of sedative and analgesic drugs during colonoscopy:A prospective randomized controlled trial 被引量:10
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作者 Nimet Ovayolu Ozlem Ucan +4 位作者 Seda Pehlivan Yavuz Pehlivan Hakan Buyukhatipoglu M Cemil Savas Murat T Gulsen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第46期7532-7536,共5页
AIM: To determine whether listening to music decreases the requirement for dosages of sedative drugs, patients' anxiety, pain and dissatisfaction feelings during colonoscopy and makes the procedure more comfortable ... AIM: To determine whether listening to music decreases the requirement for dosages of sedative drugs, patients' anxiety, pain and dissatisfaction feelings during colonoscopy and makes the procedure more comfortable and acceptable. METHODS: Patients undergoing elective colonoscopy between October 2005 and February 2006 were randomized into either listening to music (Group 1, n = 30) or not listening to music (Group 2, n = 30). Anxiolytic and analgesic drugs (intravenous midazolam and meperidine) were given according to the patients' demand. Administered medications were monitored. We determined their levels of anxiety using the State-Trait Anxiety Inventory Test form. Patients' satisfaction, pain, and willingness to undergo a repeated procedure were self-assessed using a visual analog scale. RESULTS: The mean dose of sedative and analgesic drugs used in group 1 (midazolam: 2.1 ± 1.4, meperidine: 18.1 ± 11.7) was smaller than group 2 (midazolam: 2.4 ± 1.0, meperidine: 20.6 ± 11.5), but without a significant difference (P 〉 0.05). The mean anxiety level in group 1 was lower than group 2 (36.7 ± 2.2 vs 251.0 ± 1.9, P 〈 0.001). The mean satisfaction score was higher in group 1 compared to group 2 (87.8 ± 3.1 vs 58.1 ± 3.4, P 〈 0.001). The mean pain score in group i was lower than group 2 (74.1 ± 4.7 vs 39.0 ± 3.9, P 〈 0.001). CONCLUSION: Listening to music during colonoscopy helps reduce the dose of sedative medications, as well as patients' anxiety, pain, dissatisfaction during the procedure. Therefore, we believe that listening to music can play an adjunctive role to sedation in colonoscopy. It is a simple, inexpensive way to improve patients' comfort during the procedure. 展开更多
关键词 COLONOSCOPY Turkish classical music Sedative medications Anxiety PAIN Satisfaction
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Carbon dioxide insufflation during colonoscopy in deeply sedated patients 被引量:4
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作者 Rajvinder Singh Eu Nice Neo +8 位作者 Nazree Nordeen Ganesananthan Shanmuganathan Angelie Ashby Sharon Drummond Garry Nind Elizabeth Murphy Andrew Luck Graeme Tucker William Tam 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第25期3250-3253,共4页
AIM:To compare the impact of carbon dioxide(CO2) and air insufflation on patient tolerance/safety in deeply sedated patients undergoing colonoscopy.METHODS:Patients referred for colonoscopy were randomized to receive ... AIM:To compare the impact of carbon dioxide(CO2) and air insufflation on patient tolerance/safety in deeply sedated patients undergoing colonoscopy.METHODS:Patients referred for colonoscopy were randomized to receive either CO2 or air insufflation during the procedure.Both the colonoscopist and patient were blinded to the type of gas used.During the procedure,insertion and withdrawal times,caecal intubationrates,total sedation given and capnography readings were recorded.The level of sedation and magnitude of patient discomfort during the procedure was assessed by a nurse using a visual analogue scale(VAS)(0-3).Patients then graded their level of discomfort and abdominal bloating using a similar VAS.Complications during and after the procedure were recorded.RESULTS:A total of 142 patients were randomized with 72 in the air arm and 70 in the CO2 arm.Mean age between the two study groups were similar.Insertion time to the caecum was quicker in the CO2 group at 7.3 min vs 9.9 min with air(P = 0.0083).The average withdrawal times were not significantly different between the two groups.Caecal intubation rates were 94.4% and 100% in the air and CO2 groups respectively(P = 0.012).The level of discomfort assessed by the nurse was 0.69(air) and 0.39(CO2)(P = 0.0155) and by the patient 0.82(air) and 0.46(CO2)(P = 0.0228).The level of abdominal bloating was 0.97(air) and 0.36(CO2)(P = 0.001).Capnography readings trended to be higher in the CO2 group at the commencement,caecal intubation,and conclusion of the procedure,even though this was not significantly different when compared to readings obtained during air insufflation.There were no complications in both arms.CONCLUSION:CO2 insufflation during colonoscopy is more efficacious than air,allowing quicker and better cecal intubation rates.Abdominal discomfort and bloating were significantly less with CO2 insufflation. 展开更多
关键词 COLONOSCOPY Carbon dioxide Air Insuffla-tions Patient tolerance Safety Efficacy
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