在胃肠内镜培训生进行的结肠镜中使用腹部粘合剂:一种随机,双盲,假控制的试验
Antonio Marmolejo1, Sinue Cázarez2, Carlos J Mata3
1Department of Gastrointestinal Endoscopy, Hospital Central Norte, PEMEX, 3rd Floor, Campo Matillas 52, San Antonio, Azcapotzalco, 02720, Mexico City, Mexico.
Surgical endoscopy
|April 14, 2025
概括
在结肠镜检查期间使用腹部粘合剂显著缩短了受训者内输管时间. 这种简单的工具还减少了手动腹部压缩和姿势调整的需要,改善了结肠镜检查程序.
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:
- 结肠镜对于结肠直肠癌查和诊断结肠疾病至关重要.
- 在手术过程中结肠循环会引起患者的不适,并延长输管时间.
- 实习生经常面临结肠循环的挑战,需要辅助机动.
研究的目的:
- 评估腹部绑定剂在改善结肠镜检查结果方面的有效性.
- 评估腹部结合剂对实习生进行的结肠镜检查的安全性和影响.
- 为了确定腹部结合剂是否可以减少循环等程序性困难.
主要方法:
- 进行了一项随机的,双盲的,假的受控试验.
- 参与者被随机分配到腹部粘合剂 (AB) 组或假粘合剂 (SB) 组.
- 主要终点是腔输管时间;次要终点包括手动压缩和姿势调整.
主要成果:
- 腹部结合剂组显示了显著较短的中位数内输管时间 (728s vs 774s).
- 在AB组观察到,手动腹部压缩 (40%的减少) 和姿势调整 (9.4%的减少) 的需求减少.
- 较短的输管时间 (p=0.008) 和辅助机动 (p≤0.001,p=0.01) 实现了统计学意义.
结论:
- 腹部结合剂有效地减少了受训者在结肠镜检查期间的内输管时间.
- 使用腹部粘合剂可以最大限度地减少手动腹部压缩和姿势调整的需要.
- 腹部结合剂代表了由实习生执行的结肠镜手术的安全和有益的辅助.
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