摘要
目的研究碘伏溶液冲洗胃黏膜是否能降低超声内镜引导下细针穿刺术（EUS-FNA）后菌血症的发生率。方法选取20条成年杂种犬作为实验动物，随机分成2组，每组10条。实验组FNA术前使用10ml 0．5％碘伏溶液冲洗胃黏膜，对照组FNA术前使用10ml生理盐水。分别于EUS检查前，EUS检查后FNA术前，FNA术后5、15及30min采血进行血培养。结果实验组血培养中3条犬出现有意义的菌血症，对照组1条犬出现有意义的菌血症，对比2组菌血症的发生率，差异无统计学意义（P=0．582）。结论应用0．5％碘伏溶液冲洗胃黏膜不能减少EUS-FNA术后菌血症发生率。
Objective To study the occurrence of bacteremia and whether washing gastric mucosa with povidone-iodine could reduce its occurrence after endoscopic uhrasonography （EUS） -guided fine needle aspiration （FNA）. Methods A total of 20 healthy adult dogs were randomly assigned into experimental group and control group, with 10 in each. The animals in experimental group underwent gastric mucosa washing with 10 ml 0. 5% povidone-iodine solution before FNA, while those in control group with 10ml norreal saline. Blood samples were collected for culture before EUS, between EUS and FNA, and 5, 15 and 30 minutes after FNA. Results There were 3 cases of positive bacteremia in experimental group and 1 in control group,which were not significantly different （ P = O. 582）. Conclusion Pre-washing gastric mucosa with 0. 5% povidone-iodine solution cannot reduce bacterial infection after EUS-guided FNA.
出处
《中华消化内镜杂志》
北大核心
2011年第2期67-70,共4页
Chinese Journal of Digestive Endoscopy
