胶囊内镜的临床护理

Capsuleendoscopy in clinical nursing

目的总结国产OMOM胶囊内镜检查的护理措施。方法对我科2007年9月～2009年8月78例受检者胶囊内镜检查进行护理配合,分析其临床资料。结果患者肠道清洁度良好。患者及家属无恐惧感,配合率达到100%,无医疗纠纷发生。78例图像质量良好。77例到达回盲部。78例胶囊内镜检查中,都一次性顺利完成检查,检查过程中未出现任何并发症和仪器信号中断现象。发现病变69例,其中小肠病变58例、血管畸形3例、息肉11例、克罗恩病4例、非特异性炎症11例、小肠蛔虫3例、小肠癌1例、钩虫病1例。77例72h内排出体外,平均排出时间31h,无1例发生梗阻及胶囊嵌塞等并发症。结论检查前后恰当的护理及良好的肠道准备对此项检查也起着重要的作用,同时能减少并发症的发生。

Objective To summarize the nursing for OMOM capsule endoscopy made in China.Methods Of my Division in September 2006 to August 2008 found 78 cases of capsule endoscopy were carried out with care,to analyze its clinical data.Results Cleanliness of the patients,intestinal is good.Patients and their families had no fear in the check,reaching the rate of 100 percent and there was non-medical dispute.78 cases,image are all of good quality.77 cases arriving at the Ileocecal.The whole 78 cases of capsule endoscopy examination were successfully completed at one-time inspection process without any complications and equipment signal interruption situation.69 cases of disease were found,containing 58 cases of small bowel disease,3 cases of vascular malformation,11 cases of polyps,4 cases of Crohn′s disease,11 cases of non-specific inflammation,3 cases of intestinal roundworm,1 case of small colorectal,1 case of ancylostomiasis.The capsules were excreted within 72 hours in 76 cases,an average of 31 hours in the intestinal tract,no cases of obstruction and one capsule complications such as impaction is occurred in our examination.Conclusion Inspection before and after the conclusion of appropriate care and good bowel preparation can be of great importance in the check,meanwhile it can reduce the incidence of complications.