双向内镜与局部麻醉的操作顺序影响了结肠镜的性能:一个随机对照试验
Qing Wang1, Yue Sui2,3, Jingwen Gong1
1First Clinical Medical College of Shanxi Medical University, Shanxi Medical University, Taiyuan City, Shanxi Province, China.
在用局部麻醉进行双向内镜前进行结肠镜检查,可以改善结肠镜检查的性能,包括减少结肠和增加舒适度,而不会影响食管结肠镜检查的结果.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 改善临床质量 改善临床质量
背景情况:
- 双向内镜与局部麻醉的操作序列的变化会影响临床程序.
- 规范序列对于提高双向内镜性能至关重要.
研究的目的:
- 研究不同操作序列对双向内镜质量指标的影响.
- 为了优化双向内镜手术的性能.
主要方法:
- 一个随机试验,比较结肠镜检查-第一个与食道胃肠镜检查-第一个序列.
- 进行局部麻醉 (狄克隆因化粘液,氧布洛卡因化凝).
- 在两个随机选择组之间比较了质量指标.
主要成果:
- 在管输入率,食管胃管透术不适,检查得分或聚检测率方面没有显著差异.
- 结肠镜检查第一组的结肠发病率显著降低 (30.3%对66.0%),舒适度更高 (85.6%对72.5%).
- 首次结肠镜检查也导致了更短的管输液时间 (211秒与254秒) 并表明了手术序列,结肠,管输液时间和患者不适之间的显著相关性.
结论:
- 首先在双向内镜和局部麻醉中进行结肠镜检查,可能会提高结肠镜检查的性能.
- 这种序列优化似乎不会对食道胃管腺镜检查质量产生负面影响.
- 研究结果表明,通过优化测序,患者体验和程序效率可能会得到改善.
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