使用西梅西康/普罗纳斯前期药物的效果,与或没有姿势变化对内镜前粘膜的可视化:一个前性,双盲,随机对照试验
Li Cao1,2, Fangqin Zheng3, Deqiong Wang1
1Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
术前的simethicone和pronase显著改善了在上部内镜检查期间的粘膜可视化. 将这些药物与姿势改变相结合,进一步增强可视化,有助于更好地检查胃内膜.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 药理学 药理学是指药理学的学科.
背景情况:
- 最佳的粘膜可视化对于在食道胃管腺镜检查期间的准确诊断至关重要.
- 程序前的干预措施旨在通过减少泡和粘液来改善可视化.
- 单独或与姿势变化结合使用西美西康和普罗纳斯的疗效需要进一步调查.
研究的目的:
- 评估手术前西米西康 (S) 和普罗纳斯 (P) 的疗效和安全性,以增强镇静辅助食道胃二透镜期间的粘膜可视化.
- 评估姿势变化与前期治疗对粘膜可见性的影响.
主要方法:
- 一项随机研究涉及496名患者,分为8组.
- 干预组接受了正常的盐水 (对照组),单独的simethicone (S),单独的pronaze (P) 或simethicone加pronaze (S + P).
- 根据包括姿势变化 (PC) 形成子组;记录了粘膜可见度得分 (MVS,TVS),手术时间和用水量.
主要成果:
- 普罗纳酶 (P) 和西米西康 (S) 两组的总粘膜可见度 (TVS) 比正常盐水 (NS) 组显著更好.
- 与单独使用任何一种药物相比,simethicone和pronase (P + S) 的组合产生了优异的TVS,并减少了冲洗水的需要.
- 将姿势变化 (PC) 与P + S组合 (P + S + PC) 结合在一起,在大多数胃区域进一步改善了TVS和粘膜可视化.
结论:
- 术前的simethicone和pronase,特别是在组合中,在上部内镜检查期间显著增强粘膜可视化.
- 姿势变化,当与simethicone和pronase相结合时,进一步优化可视化,特别是在胃内.
- 这些药物和技术为改善内镜检查质量提供了有前途的方法.
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