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[目的]结肠镜单人操作老年人自身腹部压迫法在临床的应用。[方法]将2013年10月~2014年10月来我院消化内镜中心进行结肠镜检查288例老年患者分为2组,治疗组采用自身压迫法,对照组采用助手压迫法,对2种方法的操作成功率、进镜时间、疼痛评分进行比较分析。[结果]治疗组和对照组比较成功率分别为98.6%和95.1%;平均进镜时间分别为(5.5±3.0)min和(7.5±2.8)min(P<0.05);采用数字评价量表(NRS)评定患者疼痛程度的平均分数分别为(2.5±1.5)分和(5.1±2.2)分(P<0.05)。全部检查均无严重并发症发生。[结论]结肠镜单人操作老年人自身腹部压迫法的成功率高,进镜时间短、患者疼痛程度轻,并发症少且简单易行值得临床推广应用。
[Objective] The clinical application of colonoscopy single operation elderly abdomen compression method. [Methods] From October 2013 to October 2014, colonoscopy was performed in the digestive endoscopy center of our hospital. 288 elderly patients were divided into two groups. The treatment group was self-oppression. The control group was assisted by oppression. Methods of operation success rate, into the mirror time, pain score for comparative analysis. [Results] The successful rates of the treatment group and the control group were 98.6% and 95.1%, respectively. The average time to enter the mirror was (5.5 ± 3.0) min and (7.5 ± 2.8) min respectively (P <0.05) NRS scores were (2.5 ± 1.5) and (5.1 ± 2.2) points, respectively (P <0.05). No serious complications of all checks occurred. [Conclusion] The success rate of self-colon compression in colonoscopic single-operation elderly is high, the time of entering the mirror is short, the degree of pain in the patients is light, the complication is few and simple and easy to be worth popularizing and clinical application.