在结肠镜检查中使用腹部压缩装置:系统审查和元分析
Yousaf Zafar1, Ahmed Mustafa Rashid2, Syed Sarmad Javaid2
1Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
在结肠镜检查期间的腹部压缩装置缩短了手术时间,并减少了患者的运动. 然而,这些设备在查期间并不能显著改善患者的舒适度.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 临床试验 临床试验
背景情况:
- 结肠镜查对患者来说可能是不舒服的.
- 腹部压缩装置旨在减轻这些问题.
- 支持其治疗益处的证据有限.
研究的目的:
- 评估腹部压缩装置对结肠镜的影响.
- 评估对管输管时间 (CIT),腹部压缩,患者舒适度和姿势变化的影响.
主要方法:
- 在PubMed和Scopus数据库进行系统搜索 (截至2021年11月).
- 包括随机对照试验,比较设备使用与没有设备.
- 随机效应对加权平均差异和赔率比率的元分析.
主要成果:
- 腹部压缩装置显著减少了CIT -0.76分钟 (p=0.04).
- 设备使用减少了腹部压缩 (OR,0.52;p=0.03) 和姿势变化 (OR,0.46;p=0.004).
- 没有观察到患者舒适度的显著改善 (p=0.09).
结论:
- 腹部压缩装置可能会缩短结肠镜的持续时间.
- 这些设备可以减少手动腹部压缩和患者重新定位的需要.
- 在结肠镜检查期间,患者的舒适性不会受到这些设备的显著影响.
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