体位改变对胶囊内窥镜在胃下垂应用中的影响  

The Effect of Position Change on the Application of Capsule Endoscopy in Gastroptosis

作　　者：赵公芳[1] 郑梦瑶[1] 李未华[1] 黄华[1] 柳利明[1] 路明亮[1] 

机构地区：[1]昆明医科大学第二附属医院消化内科,云南昆明650101

出　　处：《昆明医科大学学报》2015年第2期65-67,共3页Journal of Kunming Medical University

基　　金：云南省卫生厅科研基金资助项目(2011WS0108)

摘　　要：目的观察患者在采取不同体位对胶囊内窥镜在胃下垂中通过幽门进入十二指肠时间的影响.方法选择昆明医科大学第二附属医院2007年11月至2014年7月行胶囊内窥镜的胃下垂患者60例,随机分为2组,每组30例,采用国产OMOM胶囊内窥镜进行消化道检查.对照组采取直立位或坐位,观察组采取右侧体位,观察2组胶囊胃内转运时间.结果 60例受检者中,全部顺利完成检查,成功率100%.无1例患者发生胶囊在胃内滞留.右侧体位组患者胶囊胃内转运时间低于对照组(P<0.05);中、重度胃下垂患者右侧体位组胶囊在胃内转运时间低于对照组(P<0.05),轻度胃下垂患者胶囊在胃内转运时间2组无差别(P>0.05).结论胃下垂患者取右侧卧位,缩短胶囊在胃内转运时间,提高全小肠检查成功率.对于中重度胃下垂患者为缩短胶囊在胃内转运时间,应尽早采取右侧卧位,以提高全小肠检查成功率.Objective To study the effect of different position on the application of capsule endoscopy through the pylorus into duodenum in gastroptosis patients.Methods Sixty gastroptosis patients who accepted OMOM capsule endoscopy from December 2007 to July 2014 were enrolled in this study. The enrolled patients were randomly divided into two groups： right lateral position group（n=30） and control group（n=30）.The patients in the control group were allowed to keep upright or sitting position.The patients in the right lateral position group were instructed to lie on right side.Gastric transit time（GTT） were recorded in each patient. Results All 60 patients completed the examination and the success rate was 100%.No patients had capsule retention in the stomach.Gastric transit time in the right position group was significantly shorter than that in the control group（P〈0.05）.Gastric transit time of moderate or severe gastroptosis patients in the right position group was significantly shorter than that of control group（P 〈0.05）.There was no significantly difference between mild gastroptosis patients of the two groups（P〉0.05）.Conclusions The right lateral position for the gastroptosis patients can shorten gastric transit time and increase the complete examination rate of the samall bowel.For moderate or severe gastroptosis patients to shorten the transit times of CE,the right side should be taken as early as possible in order to improve the success rate of small bowel examination.

关 键 词：体位改变 胶囊内窥镜 胃下垂 

分 类 号：R574.4[医药卫生—消化系统]