废液积漏袋应用于内镜逆行胰胆管造影术中的疗效观察

Efficacy of waste liquid collection bag in endoscopic retrograde cholangiopancreatography: a randomized controlled study

摘要:

目的 探讨废液积漏袋在内镜逆行胰胆管造影术（ERCP）中的应用效果。方法 选择2022年1月－2022年7月同济大学附属东方医院实施ERCP的患者315例，按随机数表法分为试验组（147例，使用废液积漏袋）和对照组（168例，不使用废液积漏袋），比较两组患者ERCP术中内镜视野暴露满意度、操作间地面污染率、操作者手术衣污染率、操作间清洁时间及术后患者腹胀发生率。结果 试验组废液积漏袋收集肠液（9.00±2.61）mL；试验组内镜视野满意度评分为（8.08±1.94）分，高于对照组的（6.76±2.34）分，差异有统计学意义（t = 5.41，P < 0.01）；试验组操作间地面污染率为8.16%（12/147），操作者手术衣污染率为3.40%（5/147），术后患者腹胀发生率为14.29%（21/147），低于对照组的36.31%（61/168）、14.88%（25/168）和38.10%（64/168），差异均有统计学意义（χ² = 34.89、χ² = 11.99和χ² = 22.56，P < 0.01）；试验组操作间清洁时间为（25.90±3.74）min，短于对照组的（27.52±5.57）min，差异有统计学意义（t = 2.99，P < 0.01）。结论 ERCP术中使用废液积漏袋，能减少气体及肠液的外溢，收集外溢的肠液可减少污染，降低患者术后腹胀发生率，减少医院交叉感染及医护人员职业暴露风险，值得临床推广应用。

Abstract:

Objective To investigate the efficacy of waste liquid collection bag in endoscopic retrograde cholangiopancreatography (ERCP).Methods From January to July 2022, the patients who performed with ERCP were randomly divided into experimental group (147 cases with waste liquid collection bag) and control group (168 cases without waste liquid collection bag). The satisfaction of endoscopic visual field exposure, ground pollution rate in the operation room, contamination rate of operators’ surgical clothes, cleaning time in operation room and incidence of postoperative abdominal distension were evaluated between the two groups.Results The amount of intestinal fluid collected by waste liquid collection bag in the experimental group was (9.00 ± 2.61) mL; The satisfaction score of endoscopic visual field was (8.08 ± 1.94), which was significantly higher than (6.76 ± 2.34) in the control group (t = 5.41, P < 0.01). In the experimental group, the ground pollution rate of operation room was 8.16% (12/147), the pollution rate of operator’s surgical clothes was 3.40% (5/147), and the incidence of postoperative abdominal distension was 14.29% (21/147), which were lower than 36.31% (61/168), 14.88% (25/168), and 38.10% (64/168) of the control group (χ² = 34.89, χ² = 11.99, χ² = 22.56, P < 0.01); The cleaning time of operation room was (25.90 ± 3.74) min of the experimental group, which was shorter than (27.52 ± 5.57) min of the control group (t = 2.99, P < 0.01).Conclusion The use of waste liquid collection bag in ERCP can reduce the overflow of gas and intestinal fluid, collect the overflow intestinal fluid, and reduce pollution, postoperative abdominal distension, the risk of poor hospital infection and occupational exposure of medical staff. It is worthy of clinical promotion.