OMOM胶囊内镜在老年消化道疾病中的诊断价值  

Diagnostic Value of OMOM Capsule Endoscopy in Elderly Patients With Digestive Tract Diseases

作　　者：钟玲玲 包洁 ZHONG;Lingling(BAO Jie Department of Gastroenterology,Kunshan First People's Hospital,Kunshan Jiangsu 215300,China)

机构地区：[1]昆山市第一人民医院消化内科

出　　处：《中国继续医学教育》2019年第31期117-119,共3页China Continuing Medical Education

摘　　要：目的研究探讨OMOM胶囊内镜在老年人消化道疾病中的诊断价值。方法该研究选择本院2017年1月-2019年1月予以OMOM胶囊内镜检查的老年消化道疾病患者,总计126例,予以回顾性分析和相应的电话随访工作。结果 126例老年消化道疾病患者中,阳性检出率为109(86.51%)例。患者进行胶囊内镜的检查平均记录时间为(502.40±11.02)min,胶囊内镜在胃部停留平均时间(56.40±8.91)min,小肠内运行平均时间(272.80±5.47)min。经过胶囊内镜检查后,消化道出血中,胶囊内镜表现,胃7例(7.29%),小肠53例(55.21%),结肠26例(27.08%);腹痛、腹胀、腹泻中,胃2例(6.67%),小肠15例(50.0%),结肠6例(20.0%)。较为常见的有炎症病变以及血管病变等,予以患者检查过程中,患者并没有不适之感。结论 OMOM胶囊内镜检查操作相对而言较为简便,具有一定的安全性,并且无创,针对老年群体耐受性极佳,针对老年消化道疾病的诊断具有价值,在检查前期应该观察患者的身体状况予以综合性评价,使用有效的措施提升检查的质量。Objective To investigate the diagnosis of gastrointestinal diseases in the elderly by OMOM capsule endoscopy. Methods A total of 126 elderly patients with digestive tract disease who underwent OMOM capsule endoscopy from January 2017 to January 2019 were enrolled in the study. A total of 126 patients were retrospectively analyzed and the corresponding telephone follow-up work was performed. Results Among 126 elderly patients with digestive tract diseases, the positive detection rate was 109(86.51%). The average recording time of the capsule endoscopy was(502.40±11.02) min, the average time of capsule endoscopy in the stomach(56.40±8.91) min, and the average time in the small intestine(272.80±5.47) min. After capsule endoscopy, gastrointestinal bleeding, capsule endoscopy, stomach 7(7.29%), small intestine 53(55.21%), colon 26(27.08%);abdominal pain, bloating, diarrhea, stomach 2(6.67%), small intestine 15(50.0%), colon 6(20.0%). More common inflammatory lesions and vascular lesions, etc., during the patient examination, the patient did not feel uncomfortable. Conclusion OMOM capsule endoscopic operation is relatively simple, safe, non-invasive, and well tolerated to the elderly population. It is valuable for the diagnosis of gastrointestinal diseases in the elderly. The patient’s physical condition should be observed in the early stage of the examination. Provide a comprehensive evaluation and use effective measures to improve the quality of inspections.

关 键 词：胶囊内镜 小肠 胃运行时间 小肠运行时间 阳性检出率 老年患者 消化道疾病 

分 类 号：R816.5[医药卫生—放射医学]