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目的观察口服匹维溴铵与常规操作行结肠镜诊疗患者的依从性及副作用、并发症。方法选择结肠镜诊疗的患者106例,随机分A,B两组(各53例),A组为口服匹维溴铵组,B组为常规操作组。记录两组操作前及操作结束后5min的心率、血压、操作时间、是否完成结肠镜、患者的满意度以及检查过程中的不良反应。结果 A组操作过程中心率、血压与B组相比轻微降低,操作前后差异均无统计学意义(P>0.05);A组患者满意度为89%,明显高于B组的72%(χ2=25.44,P<0.01)。A组患者满意度高于B组,操作时间、成功率较B组差异均有统计学意义。结论口服匹维溴铵辅助结肠镜检查可提高患者的依从性,有助于缓解肠痉挛,减少患者的痛苦、缩短操作时间及提高检查的成功率。
Objective To observe the compliance, side effects and complications of oral pinaverium bromide in patients undergoing routine colonoscopy. Methods Sixty-six patients with colonoscopy were randomly divided into groups A and B (n = 53 each). Group A was treated with pinaverium bromide and group B was treated as usual. The heart rate, blood pressure, operation time, completion of colonoscopy, patient satisfaction, and adverse reactions during the examination were recorded before and after the operation. Results The heart rate and blood pressure in group A decreased slightly compared with those in group B, and there was no significant difference between before and after operation (P> 0.05). The satisfaction in group A was 89%, significantly higher than that in group B (χ2 = 25.44, P <0.01). The satisfaction of patients in group A was higher than that of group B, and the difference of operation time and success rate was statistically significant compared with group B. Conclusion Oral Pivalivoxil-assisted colonoscopy can improve patient compliance, help to relieve intestinal spasms, reduce patient pain, shorten the operation time and improve the success rate of the examination.