评估NPO状态在双对比食道图期间对粘膜层的影响
Hamad M Muhammad1, Ahmed M Amer2, Elainea N Smith2
1University of Alabama Heersink School of Medicine, Birmingham, AL, USA.
Abdominal radiology (New York)
|April 29, 2024
概括
在食管学 (BAS) 之前禁食并不是最佳食道涂层的必要条件. 研究表明,禁食时间少于4小时的患者和禁食时间较长的患者之间的涂层质量没有显著差异,防止程序延迟.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
背景情况:
- 目前的指导方针建议在食管学 (BAS) 之前使用nil per os (NPO),以获得最佳的食管涂层.
- 据信,摄入食物或水会破坏涂层,可能导致检查重新安排和延迟患者护理.
研究的目的:
- 评估对BAS的标准NPO协议的必要性.
- 为了确定较短的NPO间隔是否会影响食道粘膜涂层的质量.
主要方法:
- 一项对370名接受BAS治疗的患者进行的回顾性研究.
- 患者被分为<4小时NPO和≥4小时NPO组.
- 四名放射科医生使用4点级别评估食道涂层,对NPO状态视而不见.
主要成果:
- 在<4小时NPO组 (2.97±0.70) 和≥4小时NPO组 (3.04±0.78;P=0.54) 之间没有观察到平均食道涂层得分的显著差异.
- 对<2小时NPO患者的亚组分析也显示涂层质量没有显著差异.
结论:
- 在BAS之前不遵守标准NPO协议不会显著影响食道涂层的质量.
- 这些发现表明,目前NPO对BAS的指导方针可能需要重新评估,以减少程序延误.
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