亲腹操在提高胃镜检查质量中的应用  

Application of abdominal massage in improving the quality of gastroscopy

作　　者：叶学云 黄晓青 陈翠梅 王燕婷 冯娟 周丽香[1] Ye Xueyun;Huang Xiaoqing;Chen Cuimei;Wang Yanting;Feng Juan;Zhou Lixiang(Department of Digestive Endoscopy Center,Zhongshan Hospital Xiamen University(Xiamen DigestiveMedicine Quality Control Center),Xiamen,Fujian 361004,China)

机构地区：[1]厦门大学附属中山医院(厦门市消化内科专业质量控制中心)消化内镜中心,福建厦门361004

出　　处：《中国内镜杂志》2024年第11期66-73,共8页China Journal of Endoscopy

摘　　要：目的研究亲腹操提高胃镜检查质量的有效性,以期为患者提供一种更优的胃镜检查术前准备。方法选取2023年3月-2023年7月于该院行无痛胃镜检查的患者307例,根据随机数表法分为亲腹操组(106例)、床上翻身组(103例)和对照组(98例),分别在常规服药的基础上运用不同术前活动指导,比较3组患者术前准备时间、检查时间和胃镜视野清晰度评分等指标。结果亲腹操组和床上翻身组胃镜检查时间明显短于对照组,各部位视野清晰度评分明显低于对照组,差异均有统计学意义(P<0.05);但亲腹操组与床上翻身组胃镜检查时间、胃体、胃窦和胃底视野清晰度评分比较,差异均无统计学意义(P>0.05);亲腹操组和床上翻身组内镜医师满意率高于对照组,差异均有统计学意义(P<0.05)。结论亲腹操和床上翻身作为胃镜术前准备方法,均可提高胃镜检查质量,而亲腹操可缩短胃镜检查前准备时间,有助于消化内镜中心的高效运转,值得临床推广应用。Objective To study the effectiveness of pro-abdominal exercise in improving the quality of gastroscopy,and provide patients with a better preoperative preparation for gastroscopy.Methods 307 patients who underwent painless gastroscopy from March to July 2023 were selected and divided into three groups according to the random number table method.There were 106 cases in the abdominal massage group,103 cases in the bed turning group and 98 cases in the control group.On the basis of routine medication,different preoperative activity guidance was used to compare and analyze the preoperative preparation time,examination time and gastric mucosal visual field clarity score in each group.Results The gastroscopy time in the abdominal massage group and the bed�turning group was significantly shorter than that in the control group,and the clarity score of the gastric mucosal visual field was significantly lower than that of the control group,with statistically significant differences(P<0.05).However,there were no statistically significant differences in the gastroscopy time or visual field clarity score for gastric body,gastric fundus,and gastric antrum between the abdominal massage group and the bed-turning group(P>0.05).The satisfaction rate of endoscopists in the abdominal massage group and the bed turning group was higher than that in the control group,and the differences were statistically significant.Conclusion Abdominal massage and turning over in bed as preoperative preparation methods for gastroscopy can improve the quality of gastroscopy,while abdominal massage can shorten the preparation time before gastroscopy,which is helpful for the efficient operation of digestive endoscopy center and is worthy of clinical application.

关 键 词：胃镜检查 术前准备 胃视野清晰度 腹部按摩 床上翻身 

分 类 号：R57[医药卫生—消化系统] R472.9[医药卫生—内科学]