CAJ | 학술논문

目的探讨胃食管反流病(GERD)患者食管乳头内毛细血管环(IPCL)形态学检查在GERD诊断中的临床价值及护理.方法对非糜烂性食管炎(NERD)患者20例、糜烂性食管炎(EE)患者20例和10例健康志愿者行24 h食管pH监测,采用白光和放大内镜窄波成像(NBI)模式观察食管下段黏膜IPCL形态并进行分型,同时配合有效的护理措施.结果 3组受检者顺利完成内镜检查.NERD组患者24 h食管pH监测阳性率为55%,EE组为90%,健康对照组均为阴性,NERD组低于EE组;放大内镜NBI模式下健康对照组食管IPCL呈茶色规律排列的卷发状、小螺旋状;NERD组85%及EE组100%食管IPCL形态为Ⅱ型,但仍排列规律,与健康对照组比较差异均有统计学意义(P＜0.05).结论食管ICPL形态特异性改变有助于GERD的内镜诊断;高质量的护理配合对顺利完成内镜检查起到了重要的作用.
목적 탐토위식관반류병(GERD)환자식관유두내모세혈관배(IPCL)형태학검사재GERD진단중적림상개치급호리.방법 대비미란성식관염(NERD)환자20례、미란성식관염(EE)환자20례화10례건강지원자행24 h식관pH감측,채용백광화방대내경착파성상(NBI)모식관찰식관하단점막IPCL형태병진행분형,동시배합유효적호리조시.결과 3조수검자순리완성내경검사.NERD조환자24 h식관pH감측양성솔위55%,EE조위90%,건강대조조균위음성,NERD조저우EE조;방대내경NBI모식하건강대조조식관IPCL정다색규률배렬적권발상、소라선상;NERD조85%급EE조100%식관IPCL형태위Ⅱ형,단잉배렬규률,여건강대조조비교차이균유통계학의의(P＜0.05).결론 식관ICPL형태특이성개변유조우GERD적내경진단;고질량적호리배합대순리완성내경검사기도료중요적작용.
Objective To explore the value of the morphological examination of intrapapillary capillary loop (IPCL) in diagnosis of gastroesophageal reflux disease (GERD) and nursing intervention. Methods 20NERD, 20 erosive esophagi (EE) and 10 healthy volunteers were enrolled in this study, they were assessed with 24 hour ambulatory esophageal pH monitoring and pattern of IPCL which observed by magnifying endoscopy in narrow band imaging (NBI) mode, combined with nursing intervention at the same time. Results Patients receives endoscopic examination successfully. The positive rate of 24 hour ambulatory esophageal pH monitoring was 55% and 90% in the NERD patients and the EE patients, the healthy volunteers were negative. NERD patients were statistically lower than EE patients (P ＜ 0. 05), magnifying endoscopy in narrow band imaging (NBI). Esophageal IPCL showed the regular curl type and small spiral type under the magnifying endoscopy,85.0% sharp of esophageal IPCL in NERD group and 100% in EF group was type Ⅱ, but it still regularly arranged, there was statistically significant difference (X2 = 19.61,30. 00, P ＜ 0. 05). Conclusions The specific morphological changes of IPCL are useful to the endoscopic diagnosis of GERD. High quality nursing intervention is important to endoscopy.