胃镜检查禁饮时间缩短至2小时的安全性研究

Study of the safety of 2-hour no drinking water before gastroscopy

摘要:

目的 探讨将胃镜检查禁饮时间缩短至2 h的安全性。方法 将180名志愿者随机分为观察组A（饮水500.00 mL）、观察组B（饮水大于500.00 mL）和对照组C（禁饮时间大于8 h），观察组饮水后每15.00 min经腹部彩超行胃内液体容积测定至胃排空，然后行胃镜检查，用胃镜吸尽残留液体量并用量杯计量。比较3组2 h后胃内残留液体量、检查完成率和误吸发生率。结果 观察组A排空时间为15.00～75.00 min，平均排空时间39.81 min，胃镜测得胃内残留液体量5.00～50.00 mL，平均20.38 mL；观察组B排空时间为15.00～75.00 min，平均排空时间40.38 min，胃镜测得胃内残留液体量10.00～60.00 mL，平均24.81 mL；对照组C胃镜测得胃内残留液体量0.00～60.00 mL，平均25.95 mL，3组比较，差异无统计学意义（P > 0.05）。所有志愿者均全部完成检查，均未发生误吸。结论 无排空障碍受试者饮水少于1 000.00 mL，在75 min内均可排空，胃镜检查禁饮时间缩短至2 h安全可行。

Abstract:

Objective To explore the safety of 2-hour no drinking water before gastroscopy.Methods 180 volunteers were randomly divided into observation group A (drinking 500.00 mL of water), observation group B (drinking water more than 500.00 mL) and control group C (no drinking water for more than 8 hours). After drinking water, the gastric fluid volume of the observation group was measured every 15.00 min by abdominal color doppler ultrasound until gastric emptying, then a gastroscopy was performed, the residual fluid is sucked up with the gastroscopy and measured in a measuring cup. The amount of residual fluid, completion rate and the incidence of aspiration were compared among the three groups.Results The gastric emptying time of observation group A was 15.00～75.00 min, 39.81 min on average, the residual fluid amount was 5.00～50.00 mL, 20.38 mL on average; The gastric emptying time of observation group B was 15.00～75.00 min, 40.38 min on average, the residual fluid amount was 10.00～60.00 mL, 24.81 mL on average. The residual fluid amount of the control group C was 0.00～60.00 mL, 25.95 mL on average. All the volunteers completed the examination, and no aspiration occurred during the examination. The difference was not statistically significant (P > 0.05).Conclusion Drinking water for less than 1 000.00 mL can be emptied within 75 min in volunteers with no emptying disorder. It is safe and feasible of 2-hour no drinking water before gastroscopy.