在ERCP期间患者定位和内管管道输入的影响:来自大型数据库的见解
Divyanshoo R Kohli1, Nishant Puri2, Douglas A Hanes3
1Pancreas and Liver Clinic, Providence Sacred Heart Medical Center, 105 W Eighth Ave, Unit 7050, Spokane, WA, 99204, USA. Divyanshoo.kohli@providence.org.
Digestive diseases and sciences
|November 25, 2025
概括
在仰卧或左侧位置 (而不是倾斜) 进行内镜逆行胆血管细胞造影 (ERCP),通过减少内管道输液,提高程序效率,并且不会增加再入院率.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 患者定位 患者定位
背景情况:
- 内镜逆行胆血管细胞造影 (ERCP) 常用于躺卧的患者,需要呼吸道输管.
- 其他位置,如仰卧和左侧,允许ERCP没有内管道输入.
研究的目的:
- 为了比较ERCP的程序指标和患者结果,ERCP在倾斜,仰卧和左侧位置进行.
- 确定患者定位对程序效率和再接收率的影响.
主要方法:
- 对接受ERCP的6510名患者进行了回顾性多中心分析.
- 患者根据位置进行分类:仰卧 (3362人),左侧 (2149人) 和倾斜 (999人).
- 分析了程序指标 (诱导时间,麻醉准备时间,ERCP持续时间,室内总时间) 和7日和30日再入院率.
主要成果:
- 与卧卧 (90%) 和倾斜 (95%) 位置相比,左侧位置所需的内内输管 (27%) 显著减少.
- 与倾斜姿势相比,左侧和仰卧姿势的手术时间显著缩短 (p < 0.001).
- 内管道输管是导致手术时间延长的主要因素.
- 与倾向性患者相比,卧姿患者的7天再入院率较低 (OR 0.63,p = 0.01).
结论:
- 仰卧和左侧定位可以提高ERCP程序的效率.
- 在非倾斜的位置下降的内内管率是提高效率的关键.
- 这些立场不会导致患者再入院的增加.
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