右侧30°半卧位在胶囊内镜检查 中的作用研究

Application of stomach B-mode ultrasound fast developer in bowel preparation of capsule endoscopy

摘要:

目的 探讨实时监视下右侧30°半卧位在胶囊内镜检查过程中的应用价值。方法 将80例行胶囊内镜检查的受检者按就诊顺序随机分为观察组和对照组，观察组40例，对照组40例。观察组取右侧30°半卧位，对照组取右侧卧位，两组患者吞入胶囊内镜后由内镜医师通过影像工作站实时监控系统判断胶囊所在位置，待胶囊通过幽门后患者可自由活动，对比分析两组受检者胶囊内镜的胃转运时间、小肠转运时间以及全小肠检查完成率的差异。结果 观察组平均胃转运时间为（54.78±28.75）min，明显短于对照组（77.70±42.04）min（U=566.500，P =0.024）；平均小肠转运时间为（254.85±103.57）min，与对照组（246.26±105.48）min比较差异无显著性（t =0.360，P =0.720）；全小肠检查完成率为75.0%（30/40），明显高于对照组的47.5%（19/40）（χ2=4.381，P =0.036）。结论 实时监视下右侧30°半卧位在胶囊内镜检查中具有较好的临床应用价值。

Abstract:

【Objective】 To evaluate the value of stomach fast developer of B-mode ultrasound in bowel preparation of capsule endoscopy. 【Methods】 A total of 60 patients were randomly divided into two groups: Group A (n=30) received simethicone, and Group B (n=30) received stomach fast developer of B-mode ultrasound, both of two groups received magnesium sulfate, compound polyethylene glycol electrolyte and compound cathartic. Positive detection rate, the amount of bubbles, the incidence of adverse reactions, gastric emptying time and small bowel transit time were compared between those two groups. 【Results】 The positive detection rate, the amount of bubbles, the incidence of adverse reactions, gastric emptying time and small bowel transit time were not significantly different (P >0.05). 【Conclusion】 The stomach fast developer of B-mode ultrasound may reduce intraluminal bubbles as well as simethicone, and that has cheaper price, so it should be widely applied.