患者体重低和输管时间长是结肠镜检查期间疼痛的关键因素
Shohei Oka1, Keita Harada1, Shumpei Yamamoto1
1Departments of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Acta medica Okayama
|October 29, 2023
概括
低体重和更长的手术时间是结肠镜检查期间疼痛的关键预测因素. 老年,先前的腹部手术和侵入性癌症的发现也导致了更长的输管时间,增加了不适.
科学领域:
- 胃肠病学 胃肠病学
- 临床内镜检查 临床内镜检查
- 疼痛管理 疼痛管理
背景情况:
- 结肠镜是一个重要的诊断工具,但患者的不适和疼痛是重要的障碍.
- 了解疼痛预测因素可以改善患者的体验和对查的坚持.
研究的目的:
- 为了识别与非镇静结肠镜检查期间疼痛相关的因素.
- 探索延长输管时间的预测因素,这是与疼痛相关的因素.
主要方法:
- 对283名患者进行前性评估,这些患者正在接受首次未经定位的全结肠镜检查.
- 使用数值评分表 (NRS) 在术后评估疼痛严重程度.
- 多变量分析以确定疼痛结肠镜检查和更长的输管时间的风险因素.
主要成果:
- 低体重 (OR 4.95) 和更长的输管时间 (OR 3.63) 是疼痛结肠镜的重要风险因素.
- 与更长的输管时间相关的因素包括年龄 (OR 2.28),之前的腹部手术 (OR 1.93) 和侵入性癌症发现 (OR 10.90).
结论:
- 患者的体重和手术持续时间是影响结肠镜疼痛的关键因素.
- 识别患有更长输管时间风险的患者可能会允许针对性干预来减少疼痛并改善程序耐受性.
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