摘要
目的研究无痛消化内镜下高频电刀治疗胃肠息肉患者的临床疗效及对电解质代谢的影响。方法回顾我院2021年1月1日至2022年12月31日收治的84例胃肠息肉患者的临床资料,随机分为对照组(42例,常规消化内镜下高频电刀治疗)和无痛组(42例,无痛消化内镜下高频电刀治疗)。对比两组治疗方案的应用价值。结果两组患者的息肉完全切除率、并发症总发生率、1年内复发率与术前、术后48 h的数字疼痛评分(NRS)无显著差异(P>0.05)。无痛组的术中失血量少于对照组,术后肠功能恢复时间、术后卧床时间、恢复排便时间、住院总天数短于对照组,术后2、12 h的NRS评分低于对照组,差异具有统计学意义(P<0.05)。术后,无痛组的中性粒细胞百分比(NEUT%)、C反应蛋白(CRP)水平及白细胞(WBC)均低于对照组,血钾、血钠水平均高于对照组,差异具有统计学意义(P<0.05)。结论无痛消化内镜下高频电刀治疗胃肠息肉不仅能保障临床疗效,还可取得较佳预后。
Objective To study the clinical efficacy of high-frequency electric knife under painless digestive endoscopy in the treatment of patients with gastrointestinal polyps and its influence on electrolyte metabolism.Methods The clinical data of 84 patients with gastrointestinal polyps admitted in our hospital from January 1,2021 to December 31,2022 were retrospectively analyzed.The patients were randomly divided into control group(42 cases,conventional high-frequency electric knife under digestive endoscopy)and painless group(42 cases,high-frequency electric knife under painless digestive endoscopy).The application value of treatment schemes of the two groups was compared.Results There were no significant difference in the complete resection rate of polyps,the total incidence of complications,the recurrence rate within 1 year and the Numerical Rating Scale(NRS)before operation and on 48 h after operation of patients between the two groups(P>0.05).The intraoperative blood loss in the painless group was less than that in the control group,the postoperative intestinal function recovery time,postoperative bed rest period,recovery defecation time and total hospitalization days were shorter than those in the control group,and the NRS score at 2 and 12 h after operation was lower than that in the control group,the differences were statistically significant(P<0.05).After operation,the neutrophilic granulocyte percentage(NEUT%),C-reactive protein(CRP)level and white blood cell(WBC)in the painless group were lower than those in the control group,and the levels of serum potassium and serum sodium were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The treatment of gastrointestinal polyps with high-frequency electric knife under painless digestive endoscopy can not only ensure the clinical efficacy,but also achieve a better prognosis.
作者
张金平
周婷婷
贺晓燕
ZHANG Jinping;ZHOU Tingting;HE Xiaoyan(the People's Hospital of Zigui County,Yichang 443600,China)
出处
《临床医学研究与实践》
2025年第34期82-85,共4页
Clinical Research and Practice
关键词
胃肠息肉
无痛消化内镜下高频电刀
预后
电解质
gastrointestinal polyps
high frequency electric knife under painless digestive endoscopy
prognosis
electrolyte
