微信指南对肠道准备结肠镜检查的影响:一项准实验性研究
Yifang Guan1, Yanjun Song1, Xiaona Li1
1Department of Gastroenterology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China.
Scientific reports
|July 18, 2023
概括
微信指导显著改善了结肠镜准备的质量和腺瘤检测率. 与传统方法相比,这种数字工具还减少了程序时间和不良反应.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 数字健康数字健康
背景情况:
- 结肠镜检查对于诊断和管理结肠直肠疾病至关重要.
- 有效的肠道准备对于结肠镜成功至关重要.
- 目前的制备方法对患者来说可能具有挑战性.
研究的目的:
- 评估基于微信的指导对结肠镜检查肠道准备质量的影响.
- 评估二次结果,包括手术时间和腺瘤检测率 (ADR).
主要方法:
- 一项涉及588名接受结肠镜检查的患者的准实验性研究.
- 微信指导小组 (n=295) 与非微信指导小组 (n=293) 的比较.
- 主要结果:通过太华得分评估肠道准备质量. 二级结局:输管时间,禁用时间,ADR和不良反应.
主要成果:
- 微信小组的Ottawa分数显著较低 (1.59对6.62,P<0.001),表明他们做好了更好的准备.
- 在微信群中,输管时间 (6.47 与 11.61 分钟相比,P<0.001) 和退出时间 (13.15 与 14.99 分钟相比,P<0.001) 减少了.
- 在微信指导下,腺瘤检测率 (ADR) 显著更高 (1.47对0.84,P<0.001),不良反应较低 (2.0%对5.5%,P=0.029).
结论:
- 微信指导提高了结肠镜检查的肠道准备质量.
- 这种数字化方法提高了腺瘤检测率和程序效率.
- 微信指导提供了一个有希望的策略,以减少与排便准备相关的不良事件.
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