结肠镜检查过程中的过程内不适的原因:一篇综述和实用提示
Jabed F Ahmed1,2, Ara Darzi2, Lakshmana Ayaru3
1Endoscopy Department, Imperial College Healthcare NHS Trust, St Marys Hospital, Praed St, London, W2 1NY, UK.
Therapeutic advances in gastrointestinal endoscopy
|November 1, 2024
概括
结肠镜术期间的疼痛会影响手术的成功和患者的回归. 本综述确定了造成不适的因素,并探索解决方案,包括先进的范围和技术,以改善患者体验.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
背景情况:
- 结肠镜在英国是一个重要的诊断和治疗工具.
- 结肠镜术期间的疼痛与较低的完成率和随访程序的出席率降低有关.
研究的目的:
- 为了确定影响结肠镜检查过程中的过程内疼痛和不适的因素.
- 审查已确定的和新的方法,以减轻结肠镜相关的疼痛和不适.
主要方法:
- 在文献中搜索,以确定影响结肠镜疼痛的因素.
- 进一步的文献搜索减少疼痛和不适的解决方案.
- 审查和讨论已识别的方法和技术.
主要成果:
- 影响疼痛的因素包括患者的特征 (性别,焦虑),操作员的技术和程序的具体情况 (准备,时间).
- 解决方案范围从内镜的进步 (可变刚度,超薄范围) 到操作员的改进和新技术 (推进式,计算机辅助内镜,任务分心).
结论:
- 解决可修改和不可修改的因素对于改善患者的治疗结果至关重要.
- 研究和实施减轻疼痛的技术对于增强结肠镜检查体验至关重要.
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