| 郭虹忆,阎晟玺,杨铸锋,等.山莨菪碱联合穴位镇痛对电子结肠镜检查的效果观察[J].安徽医药,2019,23(4):809-811. |
| 山莨菪碱联合穴位镇痛对电子结肠镜检查的效果观察 |
| Effect observation of combined analgesia of anisodamine hydrochloride and acupressure during electronic colonoscopy |
| 投稿时间：2017-07-21 |
| DOI： |
| 中文关键词: 结肠镜检查 山莨菪碱 穴位按压 麻醉和镇痛 病人满意度 |
| 英文关键词: Colonoscopy Anisodamine Acupressure Anesthesia and analgesia Patient satisfaction |
| 基金项目:河北省中医药管理局科研计划项目(2015101) ◇药物与临床◇山莨菪碱联合穴位镇痛对电子结肠镜检查的效果观察郭虹忆,阎晟玺,杨铸锋,杨静,龙润,许亚培,张素钊,陈秀荣,李世济 (河北省中医院消化内镜科,河北 石家庄 050011) |
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| 中文摘要: |
| 目的 观察电子结肠镜检查中静注山莨菪碱联合穴位按摩的镇痛效果。方法 选取河北省中医院2016年1月至2017年1月接受电子结肠镜检查180例,根据随机数字表法分为对照组及观察组,各90例。对照组检查前给予常规准备,观察组在对照组基础上加用穴位按摩(取合谷穴、内关穴、足三里穴)联合静脉输液器入壶给药盐酸山莨菪碱10 mg,静脉滴注1次以镇痛。观察并比较两组病人检查中腹部疼痛程度、检查前紧张恐惧程度、检查完成时间及检查后对电子结肠镜检查的满意度。结果 观察组疼痛程度为0级发生率(38.89%)显著高于对照组(10.00%),疼痛程度为Ⅲ级的发生率(0%)显著低于对照组(6.67%),差异有统计学意义(P＜0.05)。观察组紧张恐惧程度评级为Ⅰ级的发生率(62.22%)显著高于对照组(22.22%),紧张恐惧评级为Ⅲ级的发生率(7.78%)显著低于对照组(22.22%),差异有统计学意义(P＜0.05)。观察组病人检查时间在5~14 min以内完成率(75.56%)显著高于对照组(51.11%),在30~45 min以内检查完成率(3.33%)显著低于对照组(14.44%),差异有统计学意义(P＜0.05)。观察组检查总满意率(98.89%)显著高于对照组(80.00%),差异有统计学意义(P＜0.05)。结论 电子结肠镜检查病人前实施穴位镇痛联合盐酸山莨菪碱,镇痛效果好,病人检查过程中无明显腹部疼痛,对检查的紧张及恐惧感明显减轻,检查完成时间显著缩短,病人满意度高,接受情况好。 |
| 英文摘要: |
| Objective To observe the effect of combined analgesia of anisodamine hydrochloride and acupressure during electronic colonoscopy.Methods A hundred and eighty patients who had undergone electronic colonoscopy in Hebei Provincial Hospital of Traditional Chinese Medicine from January 2016 to January 2017 were assigned into the treatment group and the control group by random number table method,with 90 patients in each group.Patients in the control group were given preparations as routine before the examination,while those in the treatment group received additionally acupressure (Hegu point,Neiguan point and Zusanli point) combined with anisodamine hydrochloride muscle injection (10 mg) once 10 min before colonoscopy.The nervousness degree before examination,the degree of abdominal pain during examination,the satisfaction after examination and the examination time were compared between the two groups.Results The incidence of pain degree of grade 0 in the treatment group (38.89%) was significantly higher than that in the control group (10.00%),while the incidence of pain degree of grade 3 (0%) was significantly lower than that in the control group (6.67%);the differences were statistically significant (P<0.05).The incidence of nervousness degree of grade 1 in the treatment group (62.22%) was significantly higher than that in the control group (22.22%),and that of grade 3 (7.78%) was significantly lower than that in the control group (22.22%);the differences were statistically significant (P<0.05).The completion rate of examination time (5-14 min) in the treatment group (75.56%) was significantly higher than that in the control group (51.11%),while the completion rate of examination time (30-45 min) in the treatment group (3.33%) was significantly lower than that in the control group (14.44%);the differences were statistically significant (P<0.05).The satisfaction rate of patients in the treatment group (98.89%) was higher than that in the control group (80.00%);the difference was statistically significant (P<0.05).ConclusionBefore the electronic colonoscopy,acupressure combined with anisodamine hydrochloride is a method with good analgesic effect,high patient satisfaction and good acceptance,which can shorten examination time.Patients have no obvious abdominal pain during the examination,and the nervousness may be significantly reduced. |
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