对结肠镜检查肠道准备不足的发生率和预测因素:一个横截面研究
Alireza Asgari1, Fateme Ziamanesh1, Ali Aliasgari1
1Digestive Disease Research Institute Tehran University of Medical Sciences Tehran Iran.
概括
肠道对结肠镜检查的准备不足影响了17.9%的患者. 糖尿病,吸烟和住院状态是不良结肠镜准备的关键危险因素.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 公共卫生 公共卫生
背景情况:
- 最佳的结肠镜检查需要适当的肠道准备.
- 准备不足导致医疗保健成本增加,诊断准确度降低.
- 识别导致准备不足的因素对于改善结肠镜检查结果至关重要.
研究的目的:
- 为了确定肠道准备不足的发生率.
- 确定与肠道准备不足相关的临床和人口风险因素.
主要方法:
- 对604名接受结肠镜检查的患者进行前性观察.
- 使用波士顿肠道准备量表 (BBPS) 评估肠道准备.
- 单变量和多变量分析以确定风险因素.
主要成果:
- 肠道准备不足的发生率为17.9%.
- 独立的危险因素包括糖尿病,吸烟,住院住院和最后的非水性便.
- 发现缺血性心脏病可以降低不充分准备的风险.
结论:
- 糖尿病,吸烟,住院状态和便特征是肠道准备不足的重要风险因素.
- 患有这些危险因素的患者可能需要更强大的肠道准备方案.
- 在可预防因素上教育患者可以改善肠道准备结肠镜检查的结果.
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