限制吞咽联合漱口对磁控胶囊胃镜检查胃准备质量的影响

Effects of swallow restriction combined with gargling strategy on the quality of gastric preparation for magnetically controlled capsule gastroscopy

摘要:

目的 探讨检查前限制吞咽联合漱口对磁控胶囊胃镜胃准备质量的影响。方法 选取2022年3月至2023年8月在滨州医学院附属医院进行磁控胶囊胃镜检查的300例患者作为研究对象，将研究对象按1∶1分为对照组150例、干预组150例。对照组按照磁控胶囊胃镜指南进行检查前胃准备，干预组在指南要求基础上限制吞咽联合漱口完成检查前胃准备。将胃内清洁度、胃黏膜可视化程度、病变检出率、胃部检查时间作为评价指标。结果 干预组与对照组比较，胃内清洁度评分［（20.15±1.20）分比（18.28±1.39）分，t=-21.884，P<0.001］、胃黏膜可视化程度评分［（20.30±6.67）分比（18.80±1.04）分，t=-28.545，P<0.001］、整体病变检出率［94.7%（142/150）比77.3%（116/150），χ2=18.720，P<0.001］、胃部检查时间［（28.00±10.31）min比（32.01±11.69）min，t=-2.328，P=0.023］均明显占优。结论 检查前限制吞咽联合漱口可以有效提高磁控胶囊胃镜胃准备质量。

Abstract:

Objective To explore the effects of restricting swallowing combined with gargling strategy before examination on the quality of gastric preparation for magnetically controlled capsule gastroscopy. Methods A total of 300 patients who underwent magnetically controlled capsule gastroscopy in Binzhou Medical University Hospital from March 2022 to August 2023 were selected and randomly divided into the control group of 150 cases and the intervention group of 150 cases at a ratio of 1∶1. Gastric preparation was conducted in the control group before the examination in accordance with the guidelines for magnetically controlled capsule gastroscopy. Restricted swallowing combined with gargling was added to the intervention group before the examination. The intragastric cleanliness, the degree of gastric mucosal visualization, the lesion detection rate, and the gastric examination time were used as evaluation indices. Results Compared with the control group, the intervention group had significantly better scores in intragastric cleanliness (20.15±1.20 points VS 18.28±1.39 points, t=-21.884, P<0.001) and the degree of gastric mucosal visualization (20.30±6.67 points VS 18.80±1.04 points, t=-28.545, P<0.001), also showed higher lesion detection rate [94.7% (142/150) VS 77.3% (116/150), χ2=18.720, P<0.001], and lower gastric examination time (28.00±10.31 min VS 32.01±11.69 min, t=-2.328, P=0.023). Conclusion Restricted swallowing combined with gargling strategy before examination can effectively improve the quality of gastric preparation for magnetically controlled capsule gastroscopy.