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通过使用捆绑和集中来提高儿科结肠镜的质量:单中心审查

Shu-Chao Weng¹, Hung-Chang Lee¹, Chun-Yan Yeung²

¹Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan.

Pediatrics and neonatology

|November 22, 2023

概括

实施儿科结肠镜捆绑改善了手术质量,显著增加了终端结肠道输管和活检率. 这种增强的方法导致了更稳定的肠道准备和手术时间,使年轻患者受益.

科学领域:

儿科胃肠病学儿科胃肠病学
提高内镜质量提高内镜质量
医疗程序优化医疗程序优化

背景情况:

在实施肠道准备和全身麻醉的捆绑方法后,评估儿科结肠镜质量变化.
使用终端膜 (TI) 输管率作为程序集中和质量评估的主要指标.

研究的目的:

评估捆绑干预对儿科结肠镜检查质量的影响.
确定干预措施是否改善了肠道准备,诊断产量和程序效率.

主要方法:

选择性儿科结肠镜的回顾性审查 (患者年龄<18岁) 之前 (2015年7月 - 2020年6月) 和之后 (2020年8月 - 2021年7月) 捆绑实施.
对人口统计数据,指示,肠道准备质量,所进行的手术和输管/手术时间的分析.
使用P值<0.05来确定显著性的统计分析.

主要成果:

终端膜输管率显著增加,从42.2%增加到75.0% (P=0.004).
活检率也显著改善,从45.0%上升到75.9% (P=0.01).
肠道准备得分和手术时间的变化减少表明干预后的质量和稳定性得到改善.

结论:

捆绑方法,包括改善肠道准备和全身麻醉,显著提高了儿科结肠镜质量.
较高的终端膜输管和活检率是这种质量改善的关键指标.
这项干预措施促进了儿科结肠镜检查过程的集中化和标准化.

关键词:

结肠镜检查是一次结肠镜检查.胃肠病学胃肠病学儿科儿科儿科质量改善质量改善

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