·4504·现代生物医学进展www．shengwuyixue．comProgressinModernBiomedicineVoLIONO23DEC．2010透明帽辅助结肠镜单人操作在老年患者检查中的临床应用李明阳王志强△张子其陈孝刘婧付永和(解放军总医院南楼消化内镜诊疗科北京100853)摘要目的：探讨透明帽辅助结肠镜单人操作在老年患者检查中的临床应用。方法：对2009年8月至12月来我院消化内镜中心进行检查的408例年龄大于6O岁的患者，随机分成A组(204例)和B组(204例)，全部检查均在非麻醉状态下操作。A组予以透明帽辅助结肠镜检查，B组行常规结肠镜检查。对两种方法的成功率、平均插镜时间、平均疼痛评分、息肉检出率等指标进行比较，针对性别、年龄、腹部或盆腔手术史、长期便秘、肠道憩室等指标分析插镜时间的影响因素。结果：A组和B组结肠镜检查的成功率分别为99．1％和98．5％。平均插镜时间分别为6．4min和10．8rain(P80岁、腹部或盆腔手术史、长期便秘等因素有显著差异(P<0．05)。结论：透明帽辅助结肠镜单人操作对于老年患者是一种安全、插镜时间较短、息肉检出率较高的检查方法，年龄超过8O岁的老年女性、有腹部或盆腔手术史、长期便秘是导致插镜时间延长的相关因素。关键词：结肠镜；老年患者；临床应用；检查；透明帽中图分类号：R574．62文献标识码：A文章编号：1673—6273(2010)23—4504．03ApplicationOfCO1OnOscOpyCombinedwithTransparentHoodinExaminationofElderlyPatientsLIMing-yang,WANGZhi-qian~,ZHANGZi-qi,CHENXiao,L1UJing,FUYong-he(DepartmentofNanlouGIEndoscopy,PLAGeneralHospital,BeoTng100853,Ch矗laABSTRACTObjective：ToclinicallyevaluatethemethodofattachingatransparenthoodtothetipofthecolonoscopeintheExami—nationsfortheelderly．Method：Totally408patientsagedmorethan60wereselectedfromallthepatientsthattookexaminationsinCenterofGIEndoscopy．PLAGeneralHospitalbetweenSeptemberandDecemberin2009．Thechosenpatientsweredividedrandomlyinto2groups(204patientseach)andsubjectthepatientsingroupAtotransparenthoodcolonoscopyandBtoregularcolonoscopy．ThetwomethodswerecomparedbySuccessrate，cecalintubationtime，therateofcecalintubationmorethan15rainandpolypdetectionrate，andtheinfluencefactorsanalyzedbygender，historyofabdominaloperation，BMIanddiverticulosis．Result：Thesuccessrateofcolono·scopeofgroupAandBare99．1％and98．5％accordingly；theaveragececalintubationtimeare6．4minand10-8rain(P<0．05)；theaveragepainscoreare5．8and5．1：andthepolypdetectionrateare70．6％and49．5％(P
