临床荟萃

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健康教育加辅助措施提高上消化道内镜检查黏膜清晰度的临床观察

  

  1. 上海交通大学医学院附属松江医院(筹) 消化内科,上海 201699
  • 出版日期:2020-05-20 发布日期:2020-04-27
  • 通讯作者: 袁海朋, Email:yuanhaixiaog@163.com
  • 基金资助:
    松江区科技攻关项目----胃镜检查前宣教提高上消化道黏膜可见度研究 (2017sjkjgg63)

Clinical observation of health education combined with auxiliary measures  to improve clarity of gastrointestinal mucosa

  1. Department of Gastroenterology,  Songjiang Hospital Affiliated to Medical School of Shanghai Jiaotong University(chip),  Shanghai 201699, China
  • Online:2020-05-20 Published:2020-04-27
  • Contact: Corresponding author: Yuan Haipeng, Email:yuanhaixiaog@163.com

摘要: 目的  研究胃镜检查前通过宣教等措施阻止患者吞咽唾沫对上消化道黏膜可见度的影响。方法  采用前瞻性、随机、单盲、对照临床研究方法,对研究组和对照组共400例患者进行普通胃镜检查,比较研究组和对照组上消化道黏膜可见度评分。结果  研究组黏膜可见度总评分明显高于对照组(P<0.01);研究组在上消化道各部位黏膜可见度评分均大于对照组(P<0.05);研究组在消化道各部位黏膜可见度评分≥3分的患者所占比率明显高于对照组(P<0.05)。结论  胃镜检查前宣教和干预阻止患者吞咽唾沫能提高上消化道黏膜可见度。

关键词: 胃镜检查, 病人教育, 唾液, 胃黏膜, 利多卡因

Abstract: Objective  To study the effect of preventing swallowing of saliva on the visibility of upper gastrointestinal mucosa through education and other measures before gastroscopy.Methods  A prospective, randomized, singleblind, controlled clinical study was conducted on 400 patients who underwent gastroscopy to compare the upper gastrointestinal mucosa visibility score between research group and control group. Results  The total score of mucosal visibility in research group was significantly higher than that in control group (P<0.01). The mucosal visibility scores of all parts of upper gastrointestinal in research group were significantly higher than those in control group(P<0.05). The proportion of patients with a mucosal visibility score≥3 in research group was significantly higher than that in control group(P<0.05). Conclusion  Health education and other measures before gastroscopy can prevent patients from swallowing saliva and improve the visibility of the upper gastrointestinal mucosa.

Key words: gastroscopy, patient education, savila, gastric mucosa, lidocaine