磁控胶囊胃镜检查胃内清洁度的影响因素分析

Analysis of influencing factors of gastric cleanliness in magnetically controlled gastric capsule endoscopy

摘要:

目的 探讨磁控胶囊胃镜检查胃内清洁度的影响因素，以期提高磁控胶囊胃镜的诊断效能。方法 回顾性分析2023年1月－2024年12月于该院内镜中心行磁控胶囊胃镜检查的130例患者的临床资料，根据胃内清洁度是否合格，分为清洁度合格组（78例）和清洁度不合格组（52例）。比较两组患者性别、年龄、体重指数（BMI）、检查指征、吸烟、饮酒、糖尿病和幽门螺杆菌（Hp）感染的差异，将可能的影响因素纳入多因素二元Logistic回归分析，明确影响磁控胶囊胃镜检查胃内清洁度的独立危险因素。结果 单因素分析发现，两组患者BMI、有症状、Hp感染和胃内检查时间比较，差异均有统计学意义（P < 0.05）；进一步行多因素二元Logistic回归分析发现，Hp感染是影响胃内清洁度的独立危险因素（OR＾ = 6.170，95%CI：2.635～14.446，P < 0.01）。清洁度合格组完成胃内检查所需的时间为（29.44±10.22）min，明显短于清洁度不合格组的（39.78±18.93）min，近端胃清洁度合格率明显低于远端胃，差异均有统计学意义（P < 0.01）。结论 Hp感染是影响磁控胶囊胃镜检查胃内清洁度的独立危险因素，近端胃清洁度合格率低于远端胃。对于Hp感染的受检者，应当采取更积极的胃准备方案，如双倍剂量链霉蛋白酶的预处理方案、服药后体位活动和检查前限制吞咽联合漱口等，以改善胃内清洁度。

Abstract:

Objective To explore the influencing factors of gastric cleanliness during magnetically controlled gastric capsule endoscopy, in order to improve the diagnostic efficiency of magnetic control capsule gastroscopy.Methods A retrospective analysis was conducted on the clinical data of 130 patients who underwent magnetically controlled gastric capsule endoscopy from January 2023 to December 2024. According to whether the cleanliness inside the stomach was qualified, they were divided into the qualified cleanliness group (78 cases) and the unqualified cleanliness group (52 cases). The differences in gender, age, body mass index (BMI), examination indications, smoking, drinking, diabetes and Helicobacter pylori (Hp) infection between the two groups of patients were compared. The possible influencing factors were included in the binary multivariate Logistic regression analysis to identify the independent risk factors affecting the cleanliness of the stomach during magnetically controlled gastric capsule endoscopy.Results Univariate analysis revealed that there were statistically significant differences in BMI, symptoms, Hp infection and gastric examination time between the two groups of patients (P < 0.05). Further Logistic binary regression analysis revealed that Hp infection was an independent risk factor affecting the cleanliness of the stomach (OR＾ = 6.170, 95%CI: 2.635 ~ 14.446, P < 0.01). The time required for qualified cleanliness group to complete the gastric examination was (29.44 ± 10.22) min, which was significantly shorter than that of the unqualified cleanliness group (39.78 ± 18.93) min, and the qualified rate of proximal gastric cleanliness was significantly lower than that of distal gastric (P < 0.01).Conclusion Hp infection is an independent risk factor affecting the cleanliness of the stomach during magnetically controlled gastric capsule endoscopy. The qualified rate of cleanliness in the proximal stomach is lower than that in the distal stomach. For examinees infected with Hp, a more proactive gastric preparation plan should be adopted, such as a pretreatment plan with a double dose of pronase, postures and activities after taking the medicine, and restricted swallowing combined with gargling before the examination, to improve the cleanliness of the stomach.