对接受结肠镜检查的住院患者的改进说明:随机对照试验的系统审查和元分析
Maria Clara Faveri1, Dante Souza2, Ivonne Zuniga3
1Faculdade de Medicina de Marília (FAMEMA), Marília, SP, Brazil.
The Journal of surgical research
|August 7, 2025
概括
改进的指令显著提高了接受结肠镜检查的住院患者的肠道准备质量. 这导致更好的结肠镜可见性和准确性,这对于检测结肠直肠癌至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠镜对于检测结肠直肠癌至关重要,但其准确性取决于适当的肠道准备 (BP).
- 住院患者经常表现出不充分的血压,对有效改善策略的数据有限.
- 增强指令 (EI) 提供了更清晰,更全面的指导,可能改善患者对BP方案的坚持.
研究的目的:
- 在住院结肠镜检查中,系统地审查和元分析EIs与常规指令 (RI) 相比EIs的有效性.
- 评估EI对实现最佳BP得分和特定结肠片段准备的影响.
主要方法:
- 来自PubMed,Embase和Cochrane Central的随机对照试验 (RCT) 的系统审查和元分析.
- 在接受结肠镜检查的住院患者中,研究将EI与RI进行比较.
- 关键结果包括实现波士顿肠道准备量表 (BBPS) 分数≥6和整体和细分结肠准备的平均BBPS分数.
主要成果:
- 分析了6项涉及1070名患者的RCT,526人接受了EIs.
- 与RI相比,接受EI的患者更有可能达到足够的血压 (BBPS ≥6) (76%与60.5%相比).
- 消化损伤导致左结肠的BBPS平均得分显著更高 (MD 0.24;95% CI 0.09-0.38).
结论:
- 改进的指令显著提高了住院患者的整体肠道准备质量和左结肠BBPS分数.
- 建议实施EIs以提高结肠镜检查的可见性和诊断准确性.
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