中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2015年
15期
1797-1799,1809
,共4页
蒋灵芝%桑华超%章春燕%黄春亚
蔣靈芝%桑華超%章春燕%黃春亞
장령지%상화초%장춘연%황춘아
胶囊内窥镜%西甲硅油%聚乙烯二醇类
膠囊內窺鏡%西甲硅油%聚乙烯二醇類
효낭내규경%서갑규유%취을희이순류
Capsule endoscopes%Simethicone%Polyethylene glycols
目的：探讨持续口服西甲硅油对胶囊内镜图像质量的影响。方法选择在波市第四医院接受 OMOM 胶囊内镜检查的患者124例，采用随机数字表法分为两组，观察组（60例）在检查当日将西甲硅油30 ml 加入2000 ml聚乙二醇电解质散溶液口服。对照组（64例）在检查前1 d 开始口服西甲硅油10 ml，3次/ d，检查当日开始口服聚乙二醇电解质散溶液，检查前30 min 再次口服西甲硅油10 ml。定量分析两组患者胶囊内镜检查图像的气泡量、消化液量、清洁度，同时观察患者不良反应发生率。结果对照组和观察组患者检查胶囊进入小肠时间分别为（52.1±27.5）min和（45.8±30.5）min，差异无统计学意义（t =-1.209，P =0.223）；在小肠内运行时间分别为（363.3±51.4）min 和（345.4±42.5）min，差异无统计学意义（t =1.657，P =0.147）。观察组患者小肠下段及全段气泡量评分、清洁度评分及综合评分少于对照组（ P <0.05）。对照组不良反应发生率（17.2%，11/64）高于观察组（5.0%，3/60）（χ2=4.590，P <0.05）。结论将西甲硅油加入聚乙二醇电解质散溶液持续口服可以显著改善胶囊内镜图像质量，减少不良反应发生率。
目的：探討持續口服西甲硅油對膠囊內鏡圖像質量的影響。方法選擇在波市第四醫院接受 OMOM 膠囊內鏡檢查的患者124例，採用隨機數字錶法分為兩組，觀察組（60例）在檢查噹日將西甲硅油30 ml 加入2000 ml聚乙二醇電解質散溶液口服。對照組（64例）在檢查前1 d 開始口服西甲硅油10 ml，3次/ d，檢查噹日開始口服聚乙二醇電解質散溶液，檢查前30 min 再次口服西甲硅油10 ml。定量分析兩組患者膠囊內鏡檢查圖像的氣泡量、消化液量、清潔度，同時觀察患者不良反應髮生率。結果對照組和觀察組患者檢查膠囊進入小腸時間分彆為（52.1±27.5）min和（45.8±30.5）min，差異無統計學意義（t =-1.209，P =0.223）；在小腸內運行時間分彆為（363.3±51.4）min 和（345.4±42.5）min，差異無統計學意義（t =1.657，P =0.147）。觀察組患者小腸下段及全段氣泡量評分、清潔度評分及綜閤評分少于對照組（ P <0.05）。對照組不良反應髮生率（17.2%，11/64）高于觀察組（5.0%，3/60）（χ2=4.590，P <0.05）。結論將西甲硅油加入聚乙二醇電解質散溶液持續口服可以顯著改善膠囊內鏡圖像質量，減少不良反應髮生率。
목적：탐토지속구복서갑규유대효낭내경도상질량적영향。방법선택재파시제사의원접수 OMOM 효낭내경검사적환자124례，채용수궤수자표법분위량조，관찰조（60례）재검사당일장서갑규유30 ml 가입2000 ml취을이순전해질산용액구복。대조조（64례）재검사전1 d 개시구복서갑규유10 ml，3차/ d，검사당일개시구복취을이순전해질산용액，검사전30 min 재차구복서갑규유10 ml。정량분석량조환자효낭내경검사도상적기포량、소화액량、청길도，동시관찰환자불량반응발생솔。결과대조조화관찰조환자검사효낭진입소장시간분별위（52.1±27.5）min화（45.8±30.5）min，차이무통계학의의（t =-1.209，P =0.223）；재소장내운행시간분별위（363.3±51.4）min 화（345.4±42.5）min，차이무통계학의의（t =1.657，P =0.147）。관찰조환자소장하단급전단기포량평분、청길도평분급종합평분소우대조조（ P <0.05）。대조조불량반응발생솔（17.2%，11/64）고우관찰조（5.0%，3/60）（χ2=4.590，P <0.05）。결론장서갑규유가입취을이순전해질산용액지속구복가이현저개선효낭내경도상질량，감소불량반응발생솔。
Objectjve To observe the influence of continuous taking simethicone orally on image quality of capsule endoscopy. Methods 124 patients who underwent OMOM capsule endoscopy in Ningbo Fourth Hospital were divided into observation group(60 cases)and control group(64 cases)by random number table method. On the examination day,cases in observation group took mixed liquid of simethicone(30 ml)and polyethylene glycol electrolyte solution(2 000 ml);one day before examination day,cases in control group took 10 ml of simethicone three times a day,then took polyethylene glycol electrolyte solution on the examination day,and took 10 ml of simethicone again 30 min before examination. The image quality of endoscopy was graded according to the number of bubbles,the quantity of residual liquid in small intestine and cleanness. The adverse reactions were also observed. Results There was no significant difference in pylorus transit time or small bowel transit time between observation group and control group〔(52. 1 ± 27. 5)min vs. (45. 8 ± 30. 5) min,t = - 1. 209,P = 0. 223;(363. 3 ± 51. 4)min vs. (345. 4 ± 42. 5)min,t = 1. 657,P = 0. 147〕. The score of number of bubbles,cleanliness score and comprehensive score of the lower small intestine and the whole small intestine in observation group were significantly lower than those in control group( P < 0. 05). The occurrence rate of adverse reactions in control group(17. 2% ,11 / 64)was significantly higher than that(5. 0% ,3 / 60)in observation group(χ2 = 4. 590,P < 0. 05). Conclusjon Continuous taking mixed liquid of simethicone and polyethylene glycol electrolyte solution can significantly improve the image quality of capsule endoscopy and can reduce the occurrence rate of adverse reactions.
