在消化和非消化医生之间对肠道准备进行结肠镜检查的差异的实际评估:一项回顾性研究
Cenqin Liu1,2,3, Xin Yuan3,4, Hui Gao3,4
1Department of Gastroenterology, Ningbo Hospital, Zhejiang University, Ningbo, China.
医生的专业影响结肠镜肠道准备的质量. 消化医生提供卓越的指令,与非消化医生相比,导致更好的结果,突出了患者准备的关键因素.
科学领域:
- 胃肠病学 胃肠病学
- 临床研究 临床研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的肠道准备对于成功的结肠镜检查至关重要.
- 医生的专业可能会影响前结肠镜肠道准备指令的质量.
- 现实世界的数据可以根据转诊医生的专业知识阐明患者准备的变化.
研究的目的:
- 在接受结肠镜检查的门诊患者中,通过消化与非消化医生的指导来比较肠道准备的质量.
- 识别与肠道准备不足相关的潜在风险因素.
- 评估医生专业对实现适量肠道清洁对结肠镜检查的影响.
主要方法:
- 从宁波第一医院的671名门诊患者 (2019年12月 - 2020年10月) 的现实世界数据的回顾性分析.
- 根据转诊医生,患者被分为消化和非消化医生组.
- 使用波士顿肠道准备量表 (BBPS) 评估了足够的肠道准备,并对总平均BBPS分数和风险因素进行了二次分析.
主要成果:
- 在接受消化医师指导的患者中,84.2%的患者实现了充分的肠道准备,而非消化医师的患者为71.0% (OR:1.50,p < 0.001).
- 消化医生组的BBPS总平均得分较高 (6.66 ± 1.29对比6.12 ± 1.33,p < 0.001).
- 非消化医生的转诊被确定为肠道准备不良的独立风险因素 (OR:0.45,p < 0.001).
结论:
- 非消化医生提供的肠道准备指令的质量低于消化医生.
- 医生的专业是影响结肠镜检查肠道准备质量的重要因素.
- 可能需要有针对性的干预措施来改善不同医生专业的肠道准备一致性.
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