周末胃镜检查临床特征及患者特点分析  

Clinical Features and Patient Characteristics of Weekend Gastroscopy

作　　者：刘丹[1] 高峰[1] 孟黎辉[1] Liu Dan;Gao Feng;Meng Li Hui(Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing 100029,China;不详)

机构地区：[1]首都医科大学附属北京安贞医院,北京市100029

出　　处：《中国病案》2023年第8期108-110,共3页Chinese Medical Record

基　　金：北京市医院管理中心青年人才培养“青苗”计划(QML20170606)。

摘　　要：目的通过总结周末胃镜检查的实践特点,旨在为医院更好地优化周末内镜检查流程、解决患者胃镜检查难的问题提供依据。方法选取2021年9月1日-2021年10月31日在某院消化内科就诊并行周末胃镜检查患者为实验组,以同期周一胃镜检查患者作为对照组,收集对比分析两组患者的临床资料及患者特征。结果实验组43例,年龄43.6±13.3岁;对照组57例,年龄51.2±15.8岁,实验组年龄67.4%为44岁及以下组,明显低于对照组(P=0.012),与对照组有统计学差异;两组患者性别比无统计学差异(P=0.397);实验组消化性溃疡和幽门螺杆菌阳性分别占23.2%、39.5%,对照组分别为7.0%、22.8%,差异有统计学意义(P<0.05);胃息肉、十二指肠球炎、食管裂孔疝等实验组与对照组无统计学差异(P>0.05)。实验组胃镜检查预约时间间隔长于对照组(6.8±2.5天和3.3±1.5天,P<0.001)。结论周末胃镜检查组患者以青年患者为主,能够缓解部分上班族人员胃镜检查的需求,且诊断疾病没有差异,胃镜检查预约时间间隔略有延长,应充分开发周末服务能力,可能情况下开通晚间胃镜检查,进一步缩短预约时间,提升服务能力。Objectives By summarizing the practical characteristics of weekend gastroscopy,this paper aimed to provide a basis for hospitals to better optimize the process of weekend endoscopy and solve the problem of difficult gastroscopy for patients.Methods Patients who received gastroscopy in a department of gastroenterology from September 1st,2021 to October 31st,2021 were selected as the experimental group and those who received gastroscopy on Monday during the same period were selected as the control group.Clinical data and patient characteristics of the two groups were collected and compared.Results The experimental group of 43 cases,age 43.6±13.3 years;57 patients in the control group were aged 51.2±15.8 years old,and 67.4%in the experimental group were 44 years old or younger,which was significantly lower than the control group(P=0.012).There was no significant difference in the sex ratio between the two groups(P=0.397).The positive rates of peptic ulcer and Helicobacter pylori were 23.2%and 39.5%in the experimental group,and 7.0%and 22.8%in the control group,respectively,with statistical significance(P<0.05).There were no significant differences between the experimental group and the control group(P>0.05).The appointment time interval of gastroscopy in the experimental group was longer than that in the control group(6.8±2.5 days and 3.3±1.5 days,P<0.001).Conclusions The patients in the weekend gastroscopy group were mainly young patients,which could relieve the need of gastroscopy for some office workers,and there was no difference in the diagnosis of diseases.The time interval for the appointment of gastroscopy was slightly extended.The service capacity should be fully developed on weekends,and the evening gastroscopy should be opened if possible,so as to further shorten the appointment time and improve the service capacity.

关 键 词：周末 胃镜检查 流程 

分 类 号：R573[医药卫生—消化系统]