在结肠囊内镜中预测肠道清洁不足的预测因素:单中心回顾性研究
Ana Isabel Ferreira1, Mariana Marques Souto1, Tiago Lima Capela1
1Gastroenterology, Unidade Local de Saúde do Alto Ave, Portugal.
对结肠囊内镜 (CCE) 的肠道准备不足与糖尿病,甲状腺功能低下症,吸烟和精神药物使用有关. 在这些患者中优化准备可以提高CCE质量.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 诊断内镜检查 诊断内镜检查
背景情况:
- 适当的肠道准备对于高质量的结肠囊内镜 (CCE) 检查至关重要.
- 准备不足可能会损害诊断的准确性和患者的结果.
- 识别与准备不足相关的因素对于优化CCE程序至关重要.
研究的目的:
- 评估与接受CCE的患者肠道准备不足相关的临床和人口因素.
- 为了确定CCE下最佳肠道清洗的预测因素.
- 为提高CCE质量的战略提供信息.
主要方法:
- 对202名接受CCE的患者进行了回顾性横截面研究.
- 用结肠囊清理评估和报告 (CC-CLEAR) 尺度评估肠道准备的充分性.
- 对临床 (糖尿病,甲状腺功能低下,吸烟,精神药物使用) 和人口因素的分析.
主要成果:
- 30.7%的患者有不充分的肠道准备.
- 糖尿病,甲状腺功能低下,吸烟和精神药物使用与不充分的准备有显著的关联 (p<0.05).
- 准备不足并没有显著影响检测结果或完整检查率.
结论:
- 糖尿病,甲状腺功能低下,积极吸烟和使用精神药物是CCE中肠道准备不足的独立预测因素.
- 为这些高风险患者推量身定制的肠道制备方案.
- 优化准备可以提高CCE的诊断产量.
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