使用GAGLESS口腔镜进行过鼻和口腔超细内镜的可接受性,安全性和可行性:一项前性随机试验
Kazuya Matsumoto1,2, Atsushi Imagawa3, Naoki Ueda4
1Division of Gastroenterology and Nephrology, Department of Multidisciplinary Internal Medicine, Tottori University Faculty of Medicine, Yonago, Japan; matsumotokazuya@tottori-u.ac.jp.
In vivo (Athens, Greece)
|February 28, 2024
概括
与口腔内镜相比,使用GAGLESS口罩进行的鼻腔内镜显著减少了喉不适. 这种新的口罩可能会在食道胃口腔镜检查 (EGD) 期间改善患者的舒适度.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 内镜检查是指内镜检查.
背景情况:
- 消化管胃管腺镜 (EGD) 对于早期发现胃癌至关重要.
- 该GAGLESS口罩旨在减少喉反射和不适.
- 评估新设备对于改进内镜程序至关重要.
研究的目的:
- 评估使用GAGLESS口腔器进行跨鼻和口腔超薄内镜的可接受性,安全性和可行性.
- 用GAGLESS口罩来比较患者报告的跨鼻和口腔EGD之间的痛苦水平.
主要方法:
- 一个多中心,前性,随机化,开放标签试验,涉及101名接受EGD的男性患者.
- 患者填写了问卷,用视觉模拟尺度 (VAS) 测量了痛苦.
- 对喉通道,麻醉和跨鼻和口腔通道之间的整体检查的VAS分数的比较.
主要成果:
- 使用GAGLESS口罩进行的鼻腔内镜检查显示,在喉通道 (2.420) 期间的VAS得分明显较低,而口腔内镜检查 (4.092;p=0.001).
- 在麻醉或整体检查期间没有观察到显著的VAS得分差异.
- 与鼻腔内镜相比,使用GAGLESS口罩进行口腔内镜可以改善胃的可见性,但不会降低VAS得分.
结论:
- GAGLESS口罩可能有助于减少跨鼻内镜期间的疼痛,特别是当鼻腔输管很困难时.
- 虽然用GAGLESS进行口腔内镜改善了可见性,但通过鼻子使用似乎更有效地减少喉不适.
- 进一步的研究可以探索GAGLESS口袋在EGD中的最佳用例.
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