上部胃肠内镜的质量标准:深度镇静可以影响吗?
Catarina Correia1, Nuno Almeida1,2, Raquel Andrade2
1Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
深度镇静显著改善食道胃管腺镜 (EGD) 质量指标,包括检查完整性和患者满意度. 这提高了EGD程序的整体有效性.
科学领域:
- 胃肠病学 胃肠病学
- 医疗程序 医疗程序
- 患者安全 患者安全
背景情况:
- 高品质的食道胃管腺镜 (EGD) 依赖于特定的性能测量.
- 目前的指导方针缺乏关于镇静对EGD质量影响的明确建议.
研究的目的:
- 评估深度镇静对EGD性能指标的影响.
- 评估镇静在EGD期间对患者满意度的影响.
主要方法:
- 一项前性,横截面研究,涉及接受EGD的患者.
- 使用问卷来评估绩效指标和治疗后患者满意度.
主要成果:
- 深度镇静显著改善了完整检查率 (97.8%与77.2%相比),检查时间,照片记录和活检率.
- 患者满意度在深度镇静时明显高 (9.1对5.42).
- 患者不耐受是没有镇静的不完整手术的主要原因 (82.6%).
结论:
- 深度镇静是实现EGD的ESGE/UEG质量指标的关键因素.
- 通过镇静消除患者的不耐受性,提高了程序的完整性和诊断的有效性.
- 应该考虑镇静,以确保高质量的EGD程序.
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