自制防反流瓣膜在单气囊小肠镜检查中的应用  

Application of self-made anti-reflux valve in single-balloon enteroscopy examination

作　　者：滕冬梅[1] 樊超强[1] 尹向前[1] 刘璐[1] 李春花[1] 

机构地区：[1]第三军医大学新桥医院消化内科,重庆400037

出　　处：《第三军医大学学报》2013年第10期1014-1016,共3页Journal of Third Military Medical University

摘　　要：目的探讨自制防反流瓣膜在单气囊小肠镜检查中的防反流效果。方法将医用胶手套制作的防反流瓣膜应用于单气囊小肠镜检查中。134例准备接受单气囊小肠镜检查的住院患者,分为研究组和对照组。研究组采用安装了防反流瓣膜的单气囊小肠镜检查,对照组采用传统方法进行单气囊小肠镜检查。比较2组小肠镜检查环境清洁度评分及清洁护理时间的差异。结果研究组与对照组之间性别、年龄、进镜方式、检查时间、阳性结果差异均无显著性(P>0.05)。研究组清洁度评分为(3.31±0.97)分,明显低于对照组[(6.85±1.15)分](P<0.05);研究组环境清洁时间为(26.0±2.89)min,明显少于对照组[(35.9±3.69)min,P<0.05]。结论自制的防反流瓣膜能有效防止单气囊小肠镜检查对操作环境的污染,减少清洁护理所需时间,且取材容易,操作简便,值得推广应用。Objective To study the anti-reflux effect of self-made anti-reflux valve in single-balloon enteroscopy examination. Methods An anti-reflux valve was made by ourselves with medical rubber glovers for single-balloon enteroscopy examination. One hundred and thirty-four hospitalized patients who were ready to receive the single-balloon enteroscopy examination were randomly divided into a research group and a control group. The patients of the research group underwent single-balloon enteroscopy examination with the self-made anti-reflux valve, and those of the control group underwent single-balloon enteroscopy examination alone. The environmental cleanliness score and the time cost of environmental clean care were compared between the two groups. Results The sex, age, oral or anal routes, examination time and positive results between the research group and control group had no significant difference （P〉0.05）. The cleanliness score of the research group （3.31±0.97） was significantly lower than that of the control group （6.85±1.15）. The environment cleaning time of the research group （26.0±2.89）min was obviously less than that of the matched group （35.9±3.69 min, P〈0.05）. Conclusion The self-made anti-reflux valve can effectively prevent pollution during single-balloon enteroscopy examination and save the time of environmental clean care. It is convenient and deserves application and promotion.

关 键 词：单气囊小肠镜 防反流瓣膜 医用橡胶手套 环境清洁度 

分 类 号：R197.39[医药卫生—卫生事业管理] R472[医药卫生—公共卫生与预防医学]