胃镜检查前患者言语管控对胃镜视野清晰度的影响研究

doi:10.12114/j.issn.1007-9572.2020.00.369

中国全科医学 ›› 2020, Vol. 23 ›› Issue (33): 4178-4182.DOI: 10.12114/j.issn.1007-9572.2020.00.369

胃镜检查前患者言语管控对胃镜视野清晰度的影响研究

徐秀琴1，滕启凤2，呼圣娟1*，张晓菲3，马守成1，闫晨薇3，刘君3，李兴梅3，李健2，韩西3，马麒2

1.750000宁夏银川市，宁夏回族自治区人民医院内镜中心　2.730030甘肃省兰州市，西北民族大学　3.750004宁夏银川市，宁夏医科大学
*通信作者：呼圣娟，主任医师，教授；E-mail：hsj.judy@163.com
徐秀琴和滕启凤为共同第一作者

出版日期:2020-11-20 发布日期:2020-11-20
基金资助:
基金项目：宁夏回族自治区科技惠民项目（2018CMG03008）；宁夏回族自治区重点研发计划项目（2016KJHM85）

The Influence of Talking Control before Gastroscopy on the Clarity of Endoscopic Visual Field　

XU Xiuqin1，TENG Qifeng2，HU Shengjuan1*，ZHANG Xiaofei3，MA Shoucheng1，YAN Chenwei3，LIU Jun3，LI Xingmei3，LI Jian2，HAN Xi3，MA Qi2

1.Endoscopy Center，People's Hospital of Ningxia Hui Autonomous Region，Yinchuan 750000，China
2.Northwest Minzu University，Lanzhou 730030，China
3.Ningxia Medical University，Yinchuan 750004，China
*Corresponding author：HU Shengjuan，Chief physician，Professor；E-mail：hsj.judy@163.com
XU Xiuqin and TENG Qifeng are co-first authors

Published:2020-11-20 Online:2020-11-20

分享到

摘要/Abstract

摘要： 背景　临床发现，胃镜检查前相互攀谈、打电话的患者胃内清洁度差，易影响疾病的诊断。目前我国胃镜检查前的准备工作多是针对用药的选择和要求，并未要求患者对自己的言语进行管控并要求其保持安静。目的　探究胃镜检查前患者言语管控对其胃镜视野清晰度的影响。方法　选取2017年11月—2018年1月在宁夏回族自治区人民医院宁南医院行胃镜检查的符合研究标准的患者202例。依据随机数字表法将患者分为观察组104例和对照组98例。两组患者检查前均口服二甲硅油散、含服丁卡因胶浆。叮嘱观察组患者在候诊期间尽量保持安静，不要攀谈讲话；叮嘱对照组患者保持安静，对言语与否未做特殊要求。比较两组患者胃镜视野清晰度评分、胃镜诊断结果、微小病变检出率、胃镜检查前后心率及胃镜检查时间。结果　观察组患者胃底、胃体上部、胃体下部、胃窦胃镜视野清晰度分级评分及胃镜视野清晰度分级总分均低于对照组（P<0.05）。观察组患者微小病变检出率为25.0%（26/104），高于对照组的13.2%（13/98）（χ2=4.460，P=0.035）。两组患者胃镜检查前后心率比较，差异均无统计学意义（P>0.05）；观察组患者胃镜检查时间短于对照组〔（7.1±1.0）min与（7.8±1.2）min〕（t=-3.966，P<0.05）。结论　在胃镜检查前让患者对自己言语进行管控可有效提高胃内视野的清晰度、缩短检查时间，提高胃微小病变的检出率。

关键词: 胃疾病, 胃镜检查, 言语管控, 视野, 结果评价

Abstract: Background　It is clinically found that patients who talk to each other and make phone calls before gastroscopy have poor gastric cleanliness，which easily affects the diagnosis of the disease.At present，the preparation work before gastroscopy in China is mostly on the selection and requirements of medication，and patients are not required to control their own speech and keep quiet.Objective　To investigate the effect of talking control before gastroscopy on the clarity of endoscopic visual field.Methods　A total of 202 patients who met the research criteria for gastroscopy were selected in Ningnan Hospital of People's Hospital of Ningxia Hui Autonomous Region from November 2017 to January 2018.The patients were divided into the observation group （104 cases） and the control group （98 cases） by the random number table method.Before the examination，patients in both groups were given oral dimethicone powder and buccal tetracaine mortar.The patients in the observation group were advised to keep as quiet as possible and not to talk to each other during the waiting period； the patients in the control group were advised to keep quiet without special requirements for speech.The visual field clarity scores，diagnosis results，detection rates of micro lesions，heart rates before and after gastroscopy，and examination time were compared between the two groups.Results　The clarity scores of gastric fundus，upper gastric body，lower gastric body and gastric antrum and the total clarity score of endoscopic visual field in the observation group were lower than those in the control group （P<0.05）.The detection rate of micro lesions in the observation group was 25.0%（26/104），which was higher than that in the control group〔13.2%（13/98）〕（χ2=4.460，P=0.035）.There was no significant difference in heart rates between the two groups before and after gastroscopy（P>0.05）.The examination time in observation group was shorter than that in control group〔（7.1±1.0）min vs.（7.8±1.2）min〕（t=-3.966，P<0.05）.Conclusion　Asking patients to control their own talking before gastroscopy can effectively improve the clarity of visual field in the stomach，shorten the examination time，and improve the detection rate of micro lesions.

Key words: Stomach diseases, Gastroscopy, Talking control, Visual fields, Outcome assessment

徐秀琴,滕启凤,呼圣娟,等. 胃镜检查前患者言语管控对胃镜视野清晰度的影响研究[J]. 中国全科医学, 2020, 23(33): 4178-4182. DOI: 10.12114/j.issn.1007-9572.2020.00.369.
XU Xiuqin,TENG Qifeng,HU Shengjuan, et al. The Influence of Talking Control before Gastroscopy on the Clarity of Endoscopic Visual Field　[J]. Chinese General Practice, 2020, 23(33): 4178-4182. DOI: 10.12114/j.issn.1007-9572.2020.00.369.

参考文献

［1］李会灵，聂玲，李国华.影响胃镜诊疗的因素及对策［J］．中国内镜杂志，2013，19（8）：876-877.
［2］ASL S M，SIVANDZADEH G R.Efficacy of premedication with activated dimethicone or N-acetylcysteine in improving visibility during upper endoscopy［J］．World J Gastroenterol，2011，17（37）：4213-4217．DOI：10.3748/wjg.v17.i37.4213.
［3］SAJID M S，REHMAN S，CHEDGY F，et al．Improving the mucosal visualization at gastroscopy：a systematic review and meta-analysis of randomized，controlled trials reporting the role of simethicone N-acetylcysteine［J］．Transl Gastroenterol Hepatol，2018，3：29．DOI：10.21037/tgh.2018.05.02.
［4］BEHROUZIAN F，SADRIZADEH N，NEMATPOUR S，et al．The effect of psychological preparation on the level of anxiety before upper gastrointestinal endoscopy［J］．J Clin Diagn Res，2017，11（7）：VC1-4．DOI：10.7860/JCDR/2017/24876.10270.
［5］俞瑾，吕宾.血清胃蛋白酶原筛查胃部疾病的研究进展［J］．胃肠病学，2014，19（10）：631-633.
［6］SONG M J，KWEK A B，LAW N M，et al．Efficacy of small-volume simethicone given at least 30 min before gastroscopy［J］．World J Gastrointest Pharmacol Ther，2016，7（4）：572-578．DOI：10.4292/wjgpt.v7.i4.572.
［7］刘晓玲，韩杨，吴桂新.体位变化及待检时间差异对二甲硅油散在胃镜检查中消泡效果的影响［J］．临床与病理杂志，2017，37（1）：164-167.
LIU X L，HAN Y，WU G X.Effect of postural change and different intervals of waiting for operation on deforming performance of dimethicone powder in endoscopy［J］．Journal of Clinical and Pathological Research，2017，37（1）：164-167.
［8］刘晓玲，韩杨，吴桂新.二甲硅油散在上消化道内镜诊治中的应用［J］．中国内镜杂志，2016，22（6）：44-46.
LIU X L，HAN Y，WU G X.Dimethicone power applied under endoscopy in examination of upper gastrointestinal tract［J］．China Journal of Endoscopy，2016，22（6）：44-46.
［9］KEREMI B，BECK A，FABIAN T K，et al．Stress and salivary glands［J］．Curr Pharm Des，2017，23（27）：234-237．DOI：10.2174/1381612823666170215110648.
［10］KONTUREK P C，BRZOZOWSKI T，KONTUREK S J.Stress and the gut：pathophysiology，clinical consequences，diagnostic approach and treatment options［J］．J Physiol Pharmacol，2011，62（6）：591-599.
［11］EL-HASSAN H，MCKEOWN K，MULLER A F.Clinical trial：music reduces anxiety levels in patients attending for endoscopy［J］．Aliment Pharmacol Ther，2009，30（7）：718-724．DOI：10.1111/j.1365-2036.2009.04091.x.
［12］耿婕，李奇男，王莉薇，等．音乐疗法在消化内镜检查过程中干预效果的Meta分析［J］．重庆医学，2017，46（16）：2233-2237.
GENG J，LI Q N，WANG L W，et al．Intervention effect of music therapy under digestive endoscopic process：a meta analysis［J］．Chongqing Medicine，2017，46（16）：2233-2237.
［13］吴咏冬，张澍田，于中麟，等．链霉蛋白酶颗粒用于胃镜检查过程中祛除胃内黏液的多中心随机对照研究［J］．中华消化内镜杂志，2013，30（12）：671-674．DOI：10.3760/cma.j.issn.1007-5232.2013.12.004.
WU Y D，ZHANG S T，YU Z L，et al．Multicenter study of premedication of pronase granules to improve visibility during gastroendoscopy［J］．Chinese Journal of Digestive Endoscopy，2013，30（12）：671-674．DOI：10.3760/cma.j.issn.1007-5232.2013.12.004.
［14］刘晓玲，韩杨，吴桂新.二甲硅油散在上消化道内镜诊治中的应用［J］．中国内镜杂志，2016，22（6）：44-46.
LIU X L，HAN Y，WU G X.Dimethicone power applied under endoscopy in examination of upper gastrointestinal tract［J］．China Journal of Endoscopy，2016，22（6）：44-46.

[1]	龙梅，朱莉，包林林，潘佩英. 贵阳地区儿童时期幽门螺杆菌感染后胃镜检查和病理组织学特点及疗效研究[J]. 中国全科医学, 2020, 23(36): 4562-4566.
[2]	赵本田，蒋海涛，王玲，刘黔蜀，王红. 典型症状与非典型症状胃食管反流病患者食管动力及反流特点临床研究[J]. 中国全科医学, 2020, 23(15): 1904-1909.
[3]	姜武，凌逸虹，吴晓丹，蔡木炎，张惠忠，林育珠，丁培荣，潘志忠，万德森. 结直肠癌错配修复蛋白免疫组化结果误判与对策[J]. 中国全科医学, 2019, 22(24): 2967-2970.
[4]	马娟，曾志刚，邓卫平，罗裔兰，温瑞霞，沙卫红，徐丽姝. 胃镜检查前口服不同剂量西甲硅油的临床价值比较[J]. 中国全科医学, 2018, 21(6): 707-711.
[5]	李阳，屈亚威，高健翎，高智，刘海峰. 内镜下止血联合不同剂量艾司奥美拉唑钠治疗急性消化性溃疡出血效果分析研究[J]. 中国全科医学, 2018, 21(35): 4350-4353.
[6]	黄神安，钱霞，张丽华，尚红卫，熊萍，方念. 内镜黏膜下剥离术辅助诊治原发性胃淋巴瘤的效果研究[J]. 中国全科医学, 2018, 21(23): 2818-2822.
[7]	王轶淳，孙明军. 胃黏膜相关淋巴组织淋巴瘤后胃癌三例报道并文献复习[J]. 中国全科医学, 2016, 19(23): 2854-2857.

胃镜检查前患者言语管控对胃镜视野清晰度的影响研究

The Influence of Talking Control before Gastroscopy on the Clarity of Endoscopic Visual Field

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 7

编辑推荐

Metrics

留言