Application of body surface gastrointestinal pacemaker in patients with abdominal distension after fibercolonoscopy
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摘要:
目的 将体表胃肠起搏器结合常规护理应用于肠镜检查后出现腹胀的患者，观察其临床效果。 方法 选取2019年8月—2020年10月在合肥市第一人民医院行电子结肠镜检查后出现腹胀的60例患者，采用随机数字表法分为观察组与对照组，各30例。对照组给予电子结肠镜检查后的常规护理，观察组将体表胃肠起搏器与常规护理相结合干预肠镜后腹胀患者，比较2组患者干预半小时后腹胀缓解率、肛门首次排气时间、腹胀完全缓解时间及患者满意度。 结果 2组患者在镜检结束后出现腹胀程度比较差异无统计学意义(P>0.05)；观察组干预半小时后腹胀缓解率显著高于对照组患者(43.33%vs.16.67%，χ2=5.079，P=0.024)；观察组患者肛门首次排气时间[(13.56±9.69)min vs.(25.99±10.23)min，t=4.832，P < 0.001]和腹胀完全缓解时间[(33.79±11.57)min vs.(160.26±41.89)min，t=15.940，P < 0.001]均显著短于对照组患者；观察组患者满意度显著高于对照组(96.67% vs.73.33%，P=0.026)。 结论 体表胃肠起搏器结合常规护理能有效减轻结肠镜检后腹胀程度且提高护理满意度，适合在临床推广并应用。 Abstract:Objective The surface gastrointestinal pacemaker combined with routine care was applied to patients with abdominal distension after colonoscopy, and its clinical effects were observed Methods From August 2019 to October 2020, 60 patients with abdominal distension after electronic colonoscopy in Hefei First People's Hospital were selected, and they were divided into experimental and control groups with 30 patients each by random number table method. The control group was given routine nursing care after electronic colonoscopy, whilst the experimental group was given combined body surface gastrointestinal pacemaker and routine nursing care. The relief rate of abdominal distension, first anal exhaust time, complete relief time of abdominal distension and patient satisfaction after 30 min of intervention were compared in both groups. Results No significant difference was observed in the degree of abdominal distension in both groups after colonoscopy (P>0.05). The relief rate of abdominal distension in the experimental group after 30 min of intervention was significantly higher than that in the control group (43.33% vs. 16.67%, χ2=5.079, P=0.024). The time of the first anal exhaust [(13.56±9.69) min vs. (25.99±10.23) min, t=4.832, P < 0.001)] and the time to complete remission of abdominal distension were significantly shorter in the experimental group compared with those in the control group [(33.79±11.57) min vs. (160.26±41.89) min, t=15.940, P < 0.001]. Patient satisfaction in the experimental group was significantly higher than that in the control group (96.67% vs. 73.33%, P=0.026). Conclusion Surface gastrointestinal pacemaker combined with routine nursing can effectively reduce the degree of abdominal distension after colonoscopy and improve nursing satisfaction, which is suitable for clinical promotion and application. -
表 1 2组结肠镜检查后腹胀患者干预半小时后腹胀缓解率比较[例(%)]
组别 例数 无腹胀 轻度腹胀 中度腹胀 观察组 30 13（43.33） 15（50.00） 2（6.67） 对照组 30 5（16.67） 14（46.67） 11（36.67） 注：2组腹胀缓解率比较，χ2=5.079，P=0.024。 
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表 2 2组结肠镜检查后腹胀患者肛门首次排气和腹胀缓解时间比较(x±s, min)
组别 例数 肛门首次排气时间 腹胀完全缓解时间 对照组 30 25.99±10.23 160.26±41.89 观察组 30 13.56±9.69 33.79±11.57 t值 4.832 15.940 P值 < 0.001 < 0.001
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