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| Investigation on the current situation of colonoscopy |
| HUANG Qing1* ZHOU Jin2* WANG Ruigang1 WEI Zhengjie1 WANG Xu2 JIANG Xuan1 |
1.School of Clinical Medicine, Beijing Tsinghua Changgung Hospital Tsinghua University, Beijing 102218, China;
2.Basic Industrial Training Center, Tsinghua University, Beijing 100084, China |
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Abstract Objective To study the current situation of colonoscopy. Methods From October 2019 to February 2020, the questionnaire was filled out through the Internet. This study screened five representative provinces and municipalities (Beijing, Shaanxi Province, Shanxi Province, Guangdong Province, and Liaoning Province) with different regions and economic levels in the country. In these five regions, 41 hospitals with different levels and regular endoscopy rooms were selected for questionnaire survey. The content includes the experience of colonoscopy operation, the evaluation of the operation performance of colonoscopy equipment and the related physical fatigue. A total of 328 valid questionnaires were collected for investigation. Results Study subjects were more prone to injuries and increased overall fatigue in the hands, waist, and legs. The parts with obvious fatigue or damage were the most frequent in the base of the thumb of the left hand (71 people, 21.6%), the first joint of the thumb (61 people, 18.6%), and the tip of the thumb (53 people, 16.2%), waist (51 people, 15.6%), and left shoulder (42 people, 12.8%). 42.1%-61.6% of colonoscopy operators were dissatisfied with the design of the colonoscope handle, gas and water buttons, and locking switches. A total of 238 people (72.6%) believed that the colonoscope handle needed to be improved, and 186 people (56.7%) supported the development of the colonoscope handle intelligent assist system. Conclusion Colonoscopy operation will cause obvious physical fatigue and discomfort of limbs and joints. It is necessary to improve the colonoscopy handle through the intelligent system.
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