在磁控囊内镜检查中,胃准备不足及其相关因素
Qing-Zhou Kong1, Cheng Peng1, Zhen Li1
1Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
Frontiers in pharmacology
|September 13, 2023
概括
质子抑制剂的使用和短的前期治疗时间 (<30分钟) 与磁控囊内镜 (MCE) 的胃准备不良有关. 优化药物时间和类型是更好的MCE准备的关键.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜检查是指内镜检查.
背景情况:
- 影响磁控囊内镜 (MCE) 胃准备不足的因素尚不清楚.
- 有效的MCE需要对上部胃肠道进行最佳可视化,需要清晰的胃条件.
研究的目的:
- 为了确定与MCE手术前胃准备不足相关的因素.
- 分析药物和时间对MCE胃清洁的影响.
主要方法:
- 从2021年6月至2022年7月期间接受MCE的211名患者收集前性数据.
- 用6个胃区域的胃清洁度评分 (GCS) 来评估胃清洁度;充分的准备被定义为GCS ≥18.
- 使用后勤回归分析来确定准备不足的独立风险因素.
主要成果:
- 使用质子抑制剂 (PPI) (OR 3.57) 和在不到30分钟的时间前服用西美西康 (OR 2.86) 的前期治疗被确定为不足的胃准备的显著风险因素.
- 与胃上部相比,胃下部区域的清洁性明显更好 (p <0.001).
结论:
- 使用质子抑制剂和不够的前期治疗时间 (<30分钟) 对MCE的胃准备质量产生负面影响.
- 对PPI剂量,持续时间和停止时间进行进一步的研究是有必要的.
- 优化前期治疗策略,包括时间和类型,对于提高整体胃清洁和MCE程序成功至关重要.
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