祛泡剂在儿童磁控胶囊内镜胃部准备方案的应用研究
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上海市儿童医院消化二科

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Study on the application of gastric preparation with defoamer for children's magnetically controlled capsule endoscopy
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1.children'2.'3.s hospital of shanghai

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    摘要:

    摘要:目的:探讨祛泡剂的不同剂型及不同服用时间对儿童磁控胶囊内镜胃部视野清晰度的影响。方法:回顾性分析2017年1月-2023年3月于上海市儿童医院接受磁控胶囊内镜检查的180例患儿的病例资料,根据服用祛泡剂的类型分成西甲硅油乳剂组、二甲硅油散剂组、二甲硅油乳剂组,再根据检查前服用时间分为30min、45min、60min组。本研究主要评价指标为胃内气泡量评分,次要评价指标包括胃内清洁度评分、胃部检查时间、胃转运时间及诊断效能、安全性评估等。结果:二甲硅油散剂45min组的胃内气泡量评分、胃内清洁度评分明显低于其余各组,清晰度较高,差异具有统计学意义(P<0.05),各组胃部检查时间、胃转运时间、胃部疾病阳性检出率均无统计学差异(P>0.05)。结论:磁控胶囊内镜胃部检查前祛泡剂的服用可明显减少胃内的气泡量,增加胃部黏膜的清晰度,儿童服用方案选择胃部检查前45min服用溶于30ml温水的5g二甲硅油散剂更优。

    Abstract:

    Objective: To investigate the effect of different dosage forms of defoamer and different administration time on the clarity of gastric visual field of children's magnetically controlled capsule endoscopy. Methods: Retrospective analysis was made on 180 children who received magnetically controlled capsule endoscopy examination in Children ‘s Hospital Of Shanghai from January 2017 to March 2023. They were divided into dimethicone powder group, dimethicone emulsion group, and simethicone emulsion group according to the type of defoamer taken, and further divide into 30min, 45min, and 60min groups based on the time taken before examination. The main evaluation indicator was the gastric bubble score, and secondary evaluation indicators included gastric cleanliness score, gastric examination time, gastric transit time(GTT), diagnostic efficacy, and safety evaluation. Results: The gastric bubble score and gastric cleanliness score of the 45 minutes group treated with dimethicone powder group were significantly lower than those of the other groups, with higher clarity and statistical significance (P<0.05). There was no statistical difference in gastric examination time, gastric transit time, and positive detection rate of gastric diseases among the groups (P>0.05). Conclusions: Taking defoamer before magnetically controlled capsule endoscopy can significantly reduce bubble in the stomach and increase the clarity of gastric mucosa. It is better for children to take 5g dimethicone powder dissolved in 30ml warm water 45 minutes before stomach examination.

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高洁霞,冯玉灵,顾竹珺,等.祛泡剂在儿童磁控胶囊内镜胃部准备方案的应用研究[J].中华消化内镜杂志,,().

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  • 收稿日期:2023-08-14
  • 最后修改日期:2023-10-08
  • 录用日期:2024-02-20
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