在口服硫酸盐溶液或2升聚乙烯糖醇-电解液与甲酸混合肠道制备后,结肠镜检查期间肠泡的回顾性分析
Wiqas Ahmad1,2, Naohisa Yoshida3, Lucas Cardoso4
1Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Kawaramachi-Hirokoji, Kamigyo-Ku, Kyoto, 602-8566, Japan.
口服硫酸盐溶液 (OSS) 和聚乙烯甘醇 (PEG) 在结肠镜检查期间,肠泡密度没有显著差异. 良好的肠道准备被确定为近接结肠中严重泡的危险因素.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 临床研究 临床研究
背景情况:
- 肠泡是影响结肠镜检查质量的关键因素.
- 评估光泡密度对于优化结肠镜检查过程至关重要.
- 同一天的肠道准备质量会影响结肠镜检查结果.
研究的目的:
- 用口服硫酸盐溶液 (OSS) 与2L的聚乙烯甘醇和电解质溶液与酸 (PEG) 进行结肠镜检查时比较光泡的密度.
- 为了确定近接结肠中严重气泡的危险因素.
- 评估制剂类型对泡形成和聚合物检测的影响.
主要方法:
- 追溯多中心研究分析了162名患者 (45名OSS,117名PEG).
- 根据位置进行泡评估,并检查了严重靠近结肠泡的风险因素.
- 倾向性得分匹配比较了OSS和PEG之间的泡率和聚检测,使用结肠镜检查的肠泡得分 (BBS-C).
主要成果:
- 严重的泡发生在近端结肠的16.0%和远端结肠的9.9%.
- 良好的肠道准备是严重近腹结肠泡的重要危险因素 (OR: 4.878).
- 匹配后的分析显示,在OSS (11.1%) 和PEG (6.7%) 组之间,严重的近接结肠泡没有显著差异.
结论:
- 结肠镜检查的肠泡评分 (BBS-C) 有效地评估了跨段的泡率.
- 良好的肠道准备是近接结肠中严重泡的危险因素.
- 在OSS和PEG制剂之间没有观察到严重泡的显著差异.
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