Published online Oct 25, 2015. doi: 10.4253/wjge.v7.i15.1191
Peer-review started: June 26, 2015
First decision: July 29, 2015
Revised: August 16, 2015
Accepted: September 29, 2015
Article in press: September 30, 2015
Published online: October 25, 2015
AIM: To evaluate the pain relieving effect of intervention with “Lamaze method of colonoscopy” in the process of colonoscopy.
METHODS: Five hundred and eighty-five patients underwent colonoscopy were randomly divided into three groups, Lamaze group, anesthetic group and control group. Two hundred and twenty-four patients of Lamaze group, the “Lamaze method of colonoscopy” were practiced in the process of colonoscopy. The Lamaze method of colonoscopy is modified from the Lamaze method of childbirth, which helped patients to relieve pain through effective breathing control. One hundred and seventy-eight patients in anesthetic group accepted sedation colonoscopy. For 183 patients in control group, colonoscopy was performed without any intervention. The satisfactory of colon cleaning, intestinal lesions, intubation time, success ratio, pain grading and complications were recorded. All data were statistically analyzed.
RESULTS: There were no significant differences at base line of the three groups (P > 0.05). Anesthetic group shows advantage in intubation time than the other two groups (P < 0.05). Lamaze group shows no advantage in intubation time than that in control group (P > 0.05). The anesthetic group showed an apparent advantage in relieving pain (P < 0.01). Therefore, the “Lamaze method of colonoscopy” performed in colonoscopy could relieve pain effectively comparing with control group (P < 0.05). The patients in anesthetic group had the highest incidence of complications (P < 0.05).
CONCLUSION: The performance of the “Lamaze method of colonoscopy” in the process of colonoscopy could relieve patients’ pain, minimize the incidence of complications, and is worthy promotion in clinical practice.
Core tip: Colonoscopy is used as primary investigation of colorectal neoplasm worldwide and is of great value in detection of colorectal cancer in early stage. Though, it is not widely accepted by patients due to the uncomfortable feeling, especially pain, during the process. Recent years, sedation colonoscopy has developed rapidly, it has led to a great promotion of the increase of the patients’ acceptance of follow up examination. Therefore, complication of sedation colonoscopy such as bleeding, perforation, cardiopulmonary events happens once in a while. Some kinds of unsedation colonoscopy had been reported by several scholars. Music, warm water infusion is the two most often reported methods. Here we evaluated the effect of a new method of unsedation colonoscopy we called “the Lamaze method of colonoscopy”(Lamaze colonoscopy) modified from the Lamaze method of childbirth. Our study suggested that Lamaze colonoscopy is an effective way to relief pain during colonoscopy.