体外诱导磁控胶囊内镜进入小肠的临床研究

发布时间：2019-01-12 16:54

【摘要】：目的探讨体外诱导磁控胶囊内镜(MCE)进入小肠的方法及应用价值。方法将40例接受MCE检查的患者随机分为两组:对照组在胃部检查结束后停止控制胶囊运动,使其随患者消化道蠕动进入小肠;研究组胃部检查结束后患者取右侧卧位,检查医生将胶囊移至幽门口,并调控磁球位置使其靠近患者右下腹,借助磁力诱导胶囊进入小肠。对比分析两组MCE胃部检查时间、胃部滞留时间、小肠通过时间及全小肠检查完成率的差异。结果对照组平均胃部检查时间为(32.50±11.71)min,与研究组(31.75±9.12)min比较差异无统计学意义(P0.05)。胃部检查结束后,对照组的胃部滞留时间为(40.60±21.43)min,全小肠检查完成率为40%;研究组胃部滞留时间为(13.55±9.62)min,全小肠检查完成率为75%,两组比较差异有统计学意义(P0.05)。对照组小肠通过时间为(329.25±90.00)min,与研究组(342.00±89.80)min比较差异无统计学意义(P0.05)。结论体外调控磁球位置结合患者体位改变可显著缩短MCE胃部滞留时间,提高全小肠检查完成率。
[Abstract]:Objective to investigate the method and application value of inducing endoscopy (MCE) into small intestine in vitro. Methods 40 patients with MCE were randomly divided into two groups: the control group stopped the control capsule movement after the gastric examination and made it enter the small intestine with the patient's digestive tract peristalsis; The patients in the study group took the right lateral position after the stomach examination, and the doctor moved the capsule to the door, and adjusted the magnetic ball position to make it close to the patient's right lower abdomen, and entered the small intestine with magnetic induction capsule. The difference of gastric examination time, gastric retention time, intestinal transit time and complete rate of whole intestinal examination between the two groups were compared and analyzed. Results the mean gastric examination time in the control group was (32.50 卤11.71) min, and that in the study group was (31.75 卤9.12) min (P0.05). After gastric examination, the gastric retention time of the control group was (40.60 卤21.43) min, the complete rate of the whole small intestine examination was 40%. The retention time of stomach in the study group was (13.55 卤9.62) min, the complete rate of intestinal examination was 75.The difference between the two groups was statistically significant (P0.05). There was no significant difference in intestinal transit time (329.25 卤90.00) min, between the control group and the study group (342.00 卤89.80) min (P0.05). Conclusion adjusting magnetic ball position in vitro combined with postural changes in patients can significantly shorten the gastric retention time of MCE and improve the completion rate of the whole small intestine examination.
【作者单位】：中南大学湘雅二医院老年病科;
【分类号】：R57

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