多通道智能染色泵在食管碘染中的应用  

Application of multi-channel intelligent dying pump in esophageal iodine staining

作　　者：高健翎 屈亚威[2] 李阳 刘海峰[2] Jian-ling Gao;Ya-wei Qu;Yang Lil;Hai-feng Liu(Jinzhou Medical University Practice Base in General Hospital of Chinese People＇s Armed Police Forces,Jinzhou,Liaoning 121001,China;Department of Gastroenterology,General Hospital of Chinese People＇s Armed Police Forces,Beijing 100039,China)

机构地区：[1]锦州医科大学武警总医院实习基地,辽宁锦州121001 [2]武警总医院消化内科,北京100039

出　　处：《中国内镜杂志》2018年第8期8-13,共6页China Journal of Endoscopy

基　　金：国家自然科学基金面上项目(No:81471700)

摘　　要：目的观察多通道智能染色泵在食管碘染中的应用效果,并进一步探讨其临床应用价值。方法选取2017年4月-2017年12月于武警总医院消化内镜中心行胃镜检查并发现食管可疑病变的患者110例,随机分为实验组和对照组,每组各55例。对照组采用常规手推注射器的方法进行食管碘染,实验组采用多通道智能染色泵进行食管碘染。分别记录两组的染色操作时间、人数、染色剂用量和病变检出率,并对医护人员进行满意度调查。结果实验组食管碘染的操作时间为(14.87±2.78)s,对照组食管碘染的操作时间为(27.44±1.78)s,两组比较差异有统计学意义(P<0.05);实验组只需1人即可完成食管碘染操作,而对照组需由内镜术者与助手2人配合完成操作;实验组染色剂的用量为(15.84±2.71)ml,对照组染色剂的用量为(18.73±2.20)ml,两组比较差异有统计学意义(P<0.05);实验组食管病变的检出率为43.64%,高于对照组的30.91%,但两组比较差异无统计学意义(P>0.05);在医护满意度调查中,实验组的满意率为92.73%,对照组的满意率为74.55%,两组比较差异有统计学意义(P<0.05)。结论多通道智能染色泵能够明显减少食管碘染的操作时间、操作人数和试剂用量,病变检出率较常规染色方式有所提高,医护人员对其认可度高,值得在临床工作中推广应用。Objective To observe the application effect of multi-channel intelligent dying pump independently developed by the center for digestive endoscopy in esophageal iodine staining, and further explore its clinical application value. Methods 110 patients who had undergone gastroscopy from April 2017 to December 2017 found suspicious lesions in the esophagus were selected, randomly divided into experimental group and control group, 55 patients in each. In the control group, esophageal iodine staining was performed using a conventional hand-pushing syringe, and the experimental group used multichannel intelligent endoscope liquid equipment for esophageal iodine staining. Then record the time of staining, the number of operations, the amount of dye, the detection rate of lesions, and the satisfaction of medical staff. Results The esophageal iodine staining time in the experimental group was（14.87 ± 2.78） s and the time in the control group was（27.44 ± 1.78） s, there was a significant difference between the two groups（P〈0.05）; Only one person in the experimental group can complete the esophageal iodine staining operation, while the observation group needs to be completed by the endoscopic physician and the assistant; The amount of staining agent in the experimental group was（15.84 ± 2.71） ml, while in the control group was（18.73 ± 2.20） ml, the difference between the two groups was statistically significant（P〈0.05）; the detection rate of esophageal lesions in the experimental group was 43.64%, higher than that in control group of 30.91%, but the difference between the two groups was not statistically significant（P〉0.05）; in the medical staff＇s satisfaction survey, the experimental group satisfaction rate was 92.73%, the control group satisfaction rate was 74.55%, there was a statistically significant difference between the two groups（P〈0.05）. Conclusion Multi-channel intelligent dying pump can significantly reduce esophageal iodine operation time, the number of people and the

关 键 词：食管癌 色素内镜 卢戈氏碘液 染色泵 

分 类 号：R571[医药卫生—消化系统] R445[医药卫生—内科学]