一个多中心评估肠道准备的适度为儿科大肠结肠镜的适度
Harriet Barraclough1, Peter Gillett2, Akshay Kapoor3
1Leeds Teaching Hospitals NHS Foundation Trust, Leeds, UK.
Journal of pediatric gastroenterology and nutrition
|October 9, 2025
概括
这项研究发现,英国各医院的儿科肠道制备方法存在显著差异. 只有一个药物组满足了足够的肠道准备的质量标准,这表明有可能错过诊断.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 内镜手术 进行内镜手术
- 改善医疗保健的质量
背景情况:
- 适当的肠道准备对于成功的儿科大肠镜检查至关重要.
- 儿科内镜质量改进网络 (PEnQuIN) 制定了适当的肠道准备 (≥80%的BBPS得分≥6) 和终端阴道输管 (≥85%) 的标准.
研究的目的:
- 评估英国医院是否遵守儿科大肠直肠镜检查的PEnQuIN标准.
- 审查英国儿科内镜中心使用的肠道制备药物的类型.
主要方法:
- 英国儿科内镜中心使用标准化问卷进行了调查.
- 波士顿肠道准备量表 (BBPS) 的数据是匿名收集的.
- 根据肠道制备药物类型分组患者进行分析,使用克鲁斯卡尔-瓦利斯试验.
主要成果:
- 分析了来自11家医院的209名患者的数据.
- 七家医院达到足够的肠道准备的PEnQuIN标准;九家医院达到终端大肠输管的标准.
- 只有D组 (酸和碳酸) 实现了80%以上的适当肠道准备. 药物组之间没有发现BBPS得分的显著差异 (p=0.907).
- 在药物时间,剂量和频率方面观察到显著的异质性.
结论:
- 在英国,儿科肠道准备药物的使用有明显的变化.
- 虽然终端叶输管率经常得到满足,但适当的肠道准备率没有达到,这引发了对潜在错过的病理学的担忧.
- 需要进行大型的前性多中心试验,以确定适合儿童的最佳肠道准备药物和方案.
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