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相关概念视频

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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接受内镜下膜剖析的患者的预康复:一项随机对照试验.

Biyun Jiang1, Shengdi Lu2, Yiling Yan3

  • 1Department of Nursing, Shanghai Sixth People's Hospital, Shanghai, China.

BMC gastroenterology
|November 11, 2025
PubMed
概括

预康复显著提高了内镜下粘膜切割 (ESD) 后的恢复. 一个为期4周的计划改善了功能能力和心理健康,证明了安全有效的策略,以改善患者的治疗结果.

关键词:
内镜下粘膜切割 进行内镜下粘膜切割.功能性恢复 功能性恢复康复预先治疗 康复前治疗生活质量生活的质量.随机对照试验是随机对照试验.

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科学领域:

  • 胃肠病学 胃肠病学
  • 术后恢复 术后恢复
  • 预防医学 预防医学

背景情况:

  • 内镜下粘膜切割 (ESD) 是早期胃肠道瘤的关键治疗方法.
  • 接受ESD治疗的患者经常经历功能能力下降和延迟恢复.
  • 在重大手术中,预康复已被证明是有益的,因为它可以改善身体健康和恢复.

研究的目的:

  • 调查ESD之前的结构化预康复方案是否能改善术后功能恢复和患者的结果.
  • 为了比较多式预康复计划与标准护理的效果.

主要方法:

  • 一个单中心,评估者盲目的随机对照试验,涉及100名成年人接受可选ESD.
  • 参与者被随机分配到为期4周的预康复计划 (有氧/抵抗训练,营养,心理支持) 或常规护理.
  • 主要结局是从基线到1个月后手术后6分钟步行距离 (6MWD) 的变化.

主要成果:

  • 虽然6MWD最初在两组都下降了,但预康复组在3个月内显示出更好的功能恢复,超过了基线步行距离.
  • 前期康复导致1个月后手握强度,焦虑和抑郁症得分显著改善.
  • 预康复组的患者在3个月内报告了心理生活质量的更大提高,并没有增加并发症或住院时间.

结论:

  • 4周的多式预康复计划是ESD患者的安全有效策略.
  • 预康复显著改善术后的功能能力和心理健康.
  • 这种方法在ESD程序后增强了以患者为中心的结果.