MSCT仿真肠镜检查中盲肠插管成功率的影响因素

doi:10.7517/issn.1674-0475.221105

影像科学与光化学 ›› 2023, Vol. 41 ›› Issue (1): 48-52.DOI: 10.7517/issn.1674-0475.221105

MSCT仿真肠镜检查中盲肠插管成功率的影响因素

孙逸飞¹, 王晴¹, 韩蕊娜¹, 邱爽²

1. 唐山职业技术学院医学系, 河北唐山 063000;
2. 唐山市工人医院影像科, 河北唐山 063000

收稿日期:2022-11-07 出版日期:2023-01-23 发布日期:2023-01-31
通讯作者: 孙逸飞

Influencing Factors of the Success Rate of Cecal Intubation in MSCT Virtual Colonoscopy

SUN Yifei¹, WANG Qing¹, HAN Ruina¹, QIU Shuang²

1. Medical Department, Tangshan Vocational & Technical College, Tangshan 063000, Hebei, P. R. China;
2. Department of Imaging, Tangshan Gongren Hospital, Tangshan 063000, Hebei, P. R. China

Received:2022-11-07 Online:2023-01-23 Published:2023-01-31

摘要/Abstract

摘要： 本研究主要分析了影响多层螺旋CT （MSCT）仿真肠镜检查中盲肠插管成功率的相关因素。选取95例接受多层螺旋CT仿真肠镜检查的患者为研究对象，对95例患者采用自制的调查问卷进行调查，共发出问卷95份，收回88份。统计多层螺旋CT仿真肠镜检查中盲肠插管成功率，将盲镜插管失败者纳入对照组（14例），盲镜插管成功者纳入研究组（74例）。比较两组患者的焦虑自评量表（SAS）评分和视觉模拟评分（VAS）。以影响多层螺旋CT仿真肠镜检查中盲肠插管率为因变量，选择单因素分析中P<0.05的变量进行多因素Logistic回归分析。结果显示，研究组SAS评分、VAS评分低于对照组（P<0.05）。结肠镜检查中盲肠插管成功率与年龄、BMI、肠道准备质量、排便习惯有关，高龄、便秘、肠道准备质量较差、低BMI结肠镜检查中盲肠插管成功率较低（P<0.05）。高龄、便秘、肠道准备质量较差、高SAS评分、低BMI、高VAS评分是影响多层螺旋CT仿真肠镜中盲肠插管成功率的危险因素。

关键词: 多层螺旋CT仿真肠镜, 盲肠插管, 成功率, 焦虑, 疼痛

Abstract: This study mainly analyzed the factors affecting the success rate of cecal intubation during multi-slice spiral CT(MSCT) virtual colonoscopy. 95 patients undergoing MSCT virtual colonoscopy were selected as the study subjects, and 95 patients were surveyed using self-made questionnaires, and 95 questionnaires were issued and 88 were recovered. The success rate of cecal intubation in MSCT virtual colonoscopy was counted, and the failure of blind intubation were included in the control group (14 cases), the successful blind intubation were included in the study group (74 cases). Comparing the anxiety self-rating scale score (SAS) and visual simulation score (VAS) between the two groups. With the dependent variable affecting cecal intubation rate in MSCT virtual colonoscopy, the variables with P<0.05 in univariate analysis was selected for multivariate Logistic regression analysis. The results showed that the SAS score and VAS score of the study group were lower than those of the control group (P<0.05). The success rate of cecal intubation during colonoscopy was related with age, BMI, quality of bowel preparation, bowel habits. Those who with advanced age, constipation, poor bowel preparation quality, and low cecal intubation during low BMI colonoscopy the rate of cecal intubation during colonoscopy was lower (P<0.05). The advanced age, constipation, poor bowel preparation quality, high SAS score, low BMI, and high VAS score are the risk factors affecting the success rate of cecal intubation in multilayer spiral CT simulation colonoscopy.

Key words: multi-slice spiral CT virtual colonoscopy, cecal intubation, success rate, anxiety, pain

孙逸飞, 王晴, 韩蕊娜, 邱爽. MSCT仿真肠镜检查中盲肠插管成功率的影响因素[J]. 影像科学与光化学, 2023, 41(1): 48-52.

SUN Yifei, WANG Qing, HAN Ruina, QIU Shuang. Influencing Factors of the Success Rate of Cecal Intubation in MSCT Virtual Colonoscopy[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2023, 41(1): 48-52.

参考文献

[1] 严鹏程, 刘俊艳, 王勇. 结直肠疾病部分合并便秘患者疾病低剂量多层螺旋CT结肠成像的应用及其临床意义研究[J]. 中国CT和MRI杂志, 2022, 20(4):159-161.
[2] 黄玉庭, 贾茹, 徐倩, 等. 不同分期结肠与直肠神经内分泌肿瘤的预后分析[J]. 中华肿瘤杂志, 2019, 41(2):146-151.
[3] 赵姝娟. 探讨多层螺旋CT及MRI在HCC诊断中的临床价值[J]. 中国实用医药, 2022, 17(1):59-61.
[4] 刘林泉, 江明, 朱大兵. 多层螺旋CT诊断急腹症的临床效果分析[J]. 现代仪器与医疗, 2022, 28(2):39-42.
[5] 盛卫东. 多层螺旋CT三维重建与仿真肠镜在结肠肿瘤病变诊断中的应用研究[J]. 临床医药文献电子杂志, 2019, 6(69):129, 132.
[6] 马彦君, 杨新惠, 高鸿亮, 等. 结肠镜检查中盲肠插管率的预测因素分析[J]. 中国内镜杂志, 2021, 27(10):46-51.
[7] 中华医学会消化内镜学分会. 中国消化内镜诊疗相关肠道准备共识意见[J]. 中华消化内镜杂志, 2013, 30(10):541-549.
[8] 段泉泉, 胜利. 焦虑及抑郁自评量表的临床效度[J]. 中国心理卫生杂志, 2012, 26(9):676-679.
[9] 付莲英, 段淑云, 万水珍. 视觉模拟评分法在病人满意度调查中的应用[J]. 中国护理管理, 2008, 8(9):68-69.
[10] 冯莉, 陈伟彬, 李盖, 等. 多层螺旋CT对结肠癌淋巴结转移的诊断价值[J]. CT理论与应用研究, 2021, 30(1):124-130.
[11] 李静秋, 艾松涛. 多层螺旋CT仿真肠镜与结肠镜检查技术在发现结肠肿瘤的应用价值对比[J]. 中国CT和MRI杂志, 2014, 12(4):86-88.
[12] 樊波. 聚乙二醇电解质口服溶液在老年患者结肠镜检查前肠道准备中的应用[J]. 中国药物与临床, 2019, 19(16):2795-2796.
[13] 荀林娟, 席米娜, 宋瑞梅, 等. 老年患者结肠镜检查前肠道准备质量的影响因素及护理对策[J]. 临床与病理杂志, 2021, 41(4):860-865.
[14] 陈凯, 殷放, 陈红涛. 多层螺旋CT仿真结肠镜的临床应用评价[J]. 中国实用医药, 2009, 4(25):115-116.
[15] 江晓红, 丁伟群, 罗忠光, 等. 肠道准备方案对结肠镜检查质量的影响因素[J]. 中华消化杂志, 2019, 39(6):384-389.
[16] 毛红玲, 吴杨玲, 魏小飞, 等. 体位护理联合心理干预对无痛胃肠镜检查患者生命体征及心理状态的影响[J]. 实用医院临床杂志, 2020, 17(5):193-195.
[17] 杜晓霞, 马运玲, 白春娟, 等. 结肠镜检查引发疼痛的特点及影响因素325例分析[J]. 中国药物与临床, 2019, 19(3):484-486.
[18] 毛珊珊, 张晗, 高航, 等. 静脉输注利多卡因在无痛结肠镜检查中的临床应用[J]. 中国内镜杂志, 2021, 27(6):43-48.
[19] 阮建萍, 田净丽. 多层螺旋CT仿真肠镜在结肠病变中的应用[J]. 中国伤残医学, 2011, 19(8):94-96.

MSCT仿真肠镜检查中盲肠插管成功率的影响因素

Influencing Factors of the Success Rate of Cecal Intubation in MSCT Virtual Colonoscopy

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 4

编辑推荐

Metrics

本文评价

[1]	易凡俨, 陈堂斌. 超声引导腹横肌平面阻滞在老年腹腔镜阑尾手术患者麻醉中的效果[J]. 影像科学与光化学, 2022, 40(4): 815-820.
[2]	刘玉君, 谭庆英, 李汝斐, 巫晶晶, 潘慧妍. 经阴道4D-HyCoSy在输卵管不孕诊断中的应用[J]. 影像科学与光化学, 2022, 40(3): 565-569.
[3]	冯国洋, 郭龙军, 王娟, 李昌, 鹿梦岩. MRI参数对腰椎间盘突出症患者椎间盘退变程度的评估价值及与JOA、VAS评分相关性[J]. 影像科学与光化学, 2021, 39(2): 207-212.
[4]	郑世红, 杨周静. 伊托必利、奥美拉唑联合He-Ne激光治疗反流性食管炎的疗效及对患者焦虑抑郁的影响[J]. 影像科学与光化学, 2020, 38(3): 566-571.