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医学临床研究  2019, Vol. 36 Issue (10): 1951-1953    DOI: 10.3969/j.issn.1671-7171.2019.10.026
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术前腹式呼吸训练在老年非麻醉结肠镜检查患者中的应用
郭阳, 邹静
上海交通大学附属第六人民医院,201103
Application of Preoperative Abdominal Breathing Training in Elderly Patients undergoing Non-anesthetic Colonoscopy
GUO Yang, ZOU Jing
Sixth People's Hospital affiliated to Shanghai Jiaotong University,Shanghai 201103
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摘要 目的】探讨术前腹式呼吸训练在老年非麻醉结肠镜检查患者中的应用效果。【方法】选择2017年9月至2018年6月收治的非麻醉肠镜检查住院的大肠癌患者200例,按照随机数字表法随机分为对照组和干预组各100例。对照组采用常规干预,干预组在对照组基础于检查前3天给予腹式呼气训练指导。比较两组患者疼痛度状况(面部表情疼痛量表,FPS-R)及焦虑情绪(焦虑自评量表,SAS)变化;检查前和检查中血压和心率变化。【结果】干预组FPS-R量表评分低于对照组,差异具有统计学意义(P<0.05)。两组患者检查中的收缩压、舒张压和心率较检查前要明显降低,差异具有统计学意义(P<0.05);干预组患者检查中的收缩压、舒张压和心率低于对照组患者,差异具有统计学意义(P<0.05)。干预组检查前SAS评分低于对照组,差异具有统计学意义(P<0.05)。【结论】术前腹式呼吸训练应用于老年非麻醉结肠镜检查,其效果良好,可减轻患者疼痛,降低应激反应及焦虑情绪。
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郭阳
邹静
关键词 内窥镜检查/消化系统/副作用呼吸锻炼    
Abstract:【Objective】To explore the application of preoperative abdominal breathing training in elderly patients undergoing non-anesthetic colonoscopy. 【Methods】A total of 200 patients with colorectal cancer who were hospitalized for non-anesthetic colonoscopy from September 2017 to June 2018 were randomly divided into the control group and the intervention group with 100 cases in each group. The control group received routine administration, while the intervention group was guided for abdominal breathing training three days before the examination. The degree of pain (Facial Expression Pain Scale, FPS-R) and anxiety (Self-Assessment Scale, SAS) plus changes of blood pressure and heart rate before and during examination were compared between the two groups. 【Results】The score of FPS-R scale in the intervention group was lower than that in the control group (P<0.05). The systolic blood pressure, diastolic blood pressure and heart rate in the two groups during colonoscopy were lower than those before the examination (P<0.05); the systolic blood pressure, diastolic blood pressure and heart rate in the intervention group during colonoscopy were lower than those in the control group (P<0.05). SAS score of the intervention group before colonoscopy procedure was lower than that of the control group. The difference was statistically significant (P<0.05). 【Conclusion】Preoperative abdominal breathing training has a good effect on elderly patients undergoing non-anesthetic colonoscopy. It reduces pain, stress and anxiety.
Key wordsEndoscopy/ Digestive System/AE    Breathing Exercises
收稿日期: 2019-09-16     
PACS:  R443.7  
通讯作者: E-mail:898542031@qq.com   
引用本文:   
郭阳, 邹静. 术前腹式呼吸训练在老年非麻醉结肠镜检查患者中的应用[J]. 医学临床研究, 2019, 36(10): 1951-1953.
GUO Yang, ZOU Jing. Application of Preoperative Abdominal Breathing Training in Elderly Patients undergoing Non-anesthetic Colonoscopy. JOURNAL OF CLINICAL RESEARCH, 2019, 36(10): 1951-1953.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.10.026     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I10/1951
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