病例报告:在无痛放大内镜检查中,菌素与达克罗宁结合使用
1Department of Gastroenterology, The People's Hospital of Xuancheng City, Anhui Province, China.
Medicine
|October 31, 2023
概括
将Streptomyces蛋白酶添加到dyklonine,可以在无痛放大内镜中改善可见性和检测小病变. 这种组合可以提高早期诊断,而不会增加不良事件,尽管它稍微延长了检查时间.
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:
- 无痛放大内镜对于检测胃肠道异常至关重要.
- 在内镜手术中优化可视化和病变检测仍然是一个关键的挑战.
研究的目的:
- 为了评估结合Streptomyces蛋白酶与dyclonine的疗效,以提高无痛放大内镜的效果.
- 评估对可见度,病变检测和患者安全的影响.
主要方法:
- 对100名接受放大内镜检查的患者进行了回顾性分析.
- 患者被分为两组:单独使用迪克隆因 (对照组) 和使用迪克隆因的链杆菌蛋白酶 (观察组).
- 比较可见度得分,胃腔形态,病变检测率,检查时间和不良反应.
主要成果:
- 与对照组相比,与dyclonine配合的Streptomyces蛋白酶组显示出明显改善的可见性和较高的小病变检测率.
- 两组之间早期胃癌检测率没有显著差异.
- 虽然观察组的检查时间略有延长,但不良反应发生率仍然相当.
结论:
- Streptomyces 蛋白酶与迪克隆因结合,对无痛放大胃镜有好处.
- 这种组合增强了内镜可视化,并改善了小病变的检测.
- 它有助于诊断胃形和早期胃癌,而不会增加不良反应.
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