体位变化及待检时间差异对二甲硅油散在胃镜检查中消泡效果的影响  

Effect of postural change and different intervals of waiting for operation on deforming performance of dimethicone powder in endoscopy

作　　者：刘晓玲[1] 韩杨[1] 吴桂新[1] 

机构地区：[1]重庆市肿瘤研究所/医院/癌症中心内镜诊疗中心,重庆400030

出　　处：《临床与病理杂志》2017年第1期164-167,共4页Journal of Clinical and Pathological Research

摘　　要：目的:探讨体位变化及不同待检时间间隔对二甲硅油散在胃镜检查中消泡效果的影响。方法:选取2016年3—5月在重庆市肿瘤医院消化内镜中心行胃镜检查的患者400例为研究对象,将患者随机均分为4组:A组(平卧,待检15 min),B组(体位变化,待检5 min),C组(体位变化,待检10 min),D组(体位变化,待检15 min),比较4组患者上消化道黏膜视野清晰度,以评价二甲硅油散的消泡效果。结果:行体位变化的患者食管、胃底、胃角及胃窦处的黏膜视野清晰度优于平卧患者(P<0.05)。对于行体位变化的患者,待检间隔时间为10 min的患者胃底、胃体及胃窦部胃镜下黏膜清晰度优于待检间隔时间5 min及15 min的患者(P<0.05)。结论:服用二甲硅油散后行体位变化并间隔10 min后行胃镜检查,上消化道黏膜视野清晰度最佳,即消泡效果最优,建议临床推广应用。Objective： To explore the effect ofpostural change and different intervals of waiting for operation on deforming performance of Dimethicone powder in endoscopy. Methods： Four hundred patients who were scheduled to gastroscopy between March and May 2016 in Endoscopy Center, Department of Gastroenterology, Chongqing Cancer Hospital were randomly divided into four groups： group A （recumbent and interval for 15 min）, group B （postural change and interval for 5 min）, group C （postural change and interval for 10 min）, and group D （postural change and interval for 15 min）. The comparative effect of deforming performance of Dimethicone power based on postural change and different intervals for operation was evaluated through assessing mucosal vision clarity. Results： The mucosal vision clarities of patients scheduled to postural change in esophagus, fundus ventriculi, gastric angle and sinuses ventriculi were superior to that of patients scheduled to recumbent, with significant statistical difference （P〈0.05）. For patients scheduled to postural change, the mucosal vision clarities of interval for10 min in fundus ventriculi, corpora ventriculi, and sinuses ventriculi were superior to that of patients scheduled to interval for 5 and 15 min, with significant statistical difference （P〈0.05）. Conclusion： It could obtain the best vision clarity by reversing body immediately after taking Dimethicone powder and starting gastroscopy 10 min later, deserved further clinical applications.

关 键 词：二甲硅油散 胃镜 体位变化 消泡效果 

分 类 号：R573[医药卫生—消化系统]