CAJ | 학술논문

目的分析影响24h胃食管pH监测过程的因素,提高操作的完成率及准确性.方法收集我院接受24h胃食管pH监测的患者共264例,对检查操作过程中患者的配合情况及感受；监测电极定位过程是否顺利；监测结果是否满足分析需要进行记录和分析.结果共264例患者接受检查,230例(87.1％)患者顺利完成检查,34例患者在检查过程中出现电极插入困难、患者耐受问题和电极接触障碍等.结论患者耐受程度、电极插入及定位、电极接触障碍及等会影响24h胃食管pH监测检查.细致的健康宣教有助于检查的顺利进行.
목적 분석영향24h위식관pH감측과정적인소,제고조작적완성솔급준학성.방법 수집아원접수24h위식관pH감측적환자공264례,대검사조작과정중환자적배합정황급감수；감측전겁정위과정시부순리；감측결과시부만족분석수요진행기록화분석.결과 공264례환자접수검사,230례(87.1％)환자순리완성검사,34례환자재검사과정중출현전겁삽입곤난、환자내수문제화전겁접촉장애등.결론 환자내수정도、전겁삽입급정위、전겁접촉장애급등회영향24h위식관pH감측검사.세치적건강선교유조우검사적순리진행.
Objective To study the influencing factors on the operation and nursing of 24-hour gastroesophageal pH monitoring to improve the completion rate and accuracy.Methods The patients who underwent 24-hour gastroesophageal pH monitoring by HYW-2 pH monitoring device were enrolled in the study from 1 January,2010 to 30 June,2012 in Peking University Third Hospital.The patient' s cooperation and feeling during the operation,whether or not the process of monitoring the electrodes position was all right,and whether or not the results met the needs of analysis were recorded and analyzed.Results Two hundreds and sixty-four patients received the examination,and 230 cases (87.1％) successfully finished the monitoring.The problems such as difficulty in electrode insertion,patient tolerance and the obstacle to contact the electrode were found in 34 patients.Conclusions The 24-hour gastroesophageal pH monitoring is affected by the degree of patients' tolerance,the electrode insertion and position,electrode contact barrier and so on.The detailed health education is beneficial to examination.