持续口服西甲硅油对胶囊内镜图像质量的影响

发布时间：2018-05-12 06:48

本文选题：胶囊内窥镜 + 西甲硅油　；参考：《中国全科医学》2015年15期

【摘要】：目的探讨持续口服西甲硅油对胶囊内镜图像质量的影响。方法选择在波市第四医院接受OMOM胶囊内镜检查的患者124例,采用随机数字表法分为两组,观察组(60例)在检查当日将西甲硅油30 ml加入2 000 ml聚乙二醇电解质散溶液口服。对照组(64例)在检查前1 d开始口服西甲硅油10 ml,3次/d,检查当日开始口服聚乙二醇电解质散溶液,检查前30 min再次口服西甲硅油10 ml。定量分析两组患者胶囊内镜检查图像的气泡量、消化液量、清洁度,同时观察患者不良反应发生率。结果对照组和观察组患者检查胶囊进入小肠时间分别为(52.1±27.5)min和(45.8±30.5)min,差异无统计学意义(t=-1.209,P=0.223);在小肠内运行时间分别为(363.3±51.4)min和(345.4±42.5)min,差异无统计学意义(t=1.657,P=0.147)。观察组患者小肠下段及全段气泡量评分、清洁度评分及综合评分少于对照组(P0.05)。对照组不良反应发生率(17.2%,11/64)高于观察组(5.0%,3/60)(χ2=4.590,P0.05)。结论将西甲硅油加入聚乙二醇电解质散溶液持续口服可以显著改善胶囊内镜图像质量,减少不良反应发生率。
[Abstract]:Objective to investigate the effect of continuous oral administration of methylsiloxane oil on the image quality of capsule endoscopy. Methods 124 patients who received OMOM capsule endoscopy in the fourth Hospital of Bo City were randomly divided into two groups, the observation group (n = 60). On the day of the examination, 30 ml of siloxane oil was added into 2 000 ml of polyethylene glycol electrolyte powder solution. The control group (n = 64) took 10 ml of silicone oil 10 ml / d before examination and 10 ml / d of polyethylene glycol electrolyte powder again 30 min before examination. The quantity of bubbles, digestive fluid and cleanliness of the two groups were analyzed quantitatively. The incidence of adverse reactions was observed. Results the time of the capsule entering the small intestine was 52.1 卤27.5)min and 45.8 卤30.5 min in the control group and the observation group, respectively. There was no significant difference between the two groups, and the operating time in the small intestine was 363.3 卤51.4)min and 345.4 卤42.5 min, respectively. There was no significant difference between the two groups. The Bubble volume score, cleanliness score and comprehensive score of the patients in the observation group were less than those in the control group (P 0.05). The incidence of adverse reactions in the control group was 17.2 / 64), which was higher than that in the observation group (5.0 / 60) (蠂 ~ (2 / 2) 4.590 / P 0.05). Conclusion continuous oral administration of silicone oil with polyethylene glycol electrolyte powder can significantly improve the image quality of capsule endoscopy and reduce the incidence of adverse reactions.
【作者单位】：浙江省宁波市第四医院消化科;江苏省宿迁市第一人民医院消化科;
【分类号】：R57

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