口腔呼吸在口腔内镜中促进了内镜操作性,与鼻腔呼吸相比:一项随机对照试验
Keitaro Takahashi1, Takuya Iwama2, Momotaro Muto3
1Department of Internal Medicine, Division of Gastroenterology, Asahikawa Medical University, Asahikawa, Japan.
口腔呼吸 (OB) 与鼻腔呼吸 (NB) 相比,在未安静的口腔内镜期间改善了内镜的可操作性. 建议在临床实践中使用OB进行超细内镜 (UE) 以获得更好的结果.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 临床试验 临床试验
背景情况:
- 无静止口腔内镜,包括超薄内镜 (UE) 和常规内镜 (CE),是可行的,但需要提高可操作性和患者耐受性.
- 呼吸方法 (口腔与鼻腔) 对这些因素的影响尚不清楚.
- 本研究通过在UE和CE期间比较口腔呼吸 (OB) 和鼻腔呼吸 (NB) 来解决知识差距.
研究的目的:
- 为了比较口腔呼吸 (OB) 与鼻腔呼吸 (NB) 在非静止超薄内镜 (UE) 和常规内镜 (CE) 中对内镜可操作性和患者耐受性的影响.
- 为了确定最佳的呼吸方法和内镜类型,用于非镇静口腔内镜.
主要方法:
- 一项随机对照试验,涉及252名患者,接受UE或CE.
- 患者被随机分配到口腔呼吸 (OB) 或鼻腔呼吸 (NB) 组.
- 用视觉模拟秤评估了内镜操作性和患者耐受性,并记录了可见性.
主要成果:
- 与鼻呼吸 (NB) 相比,口腔呼吸 (OB) 导致从口腔到中喉的可见性改善 (79.3%81.0%).
- 与NB相比,OB在UE和CE中显著改善了内镜可操作性得分 (P<0.05).
- 与OB结合的超细内镜 (UE) 与其他组合相比,显示出优越的整体内镜可操作性和患者耐受性.
结论:
- 口腔呼吸 (OB) 在未安静的口腔内镜过程中增强了内镜的可操作性.
- 建议将超细内镜 (UE) 与口腔呼吸 (OB) 结合起来,作为常规无镇静口腔内镜的首选方法.
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