改变体位在胶囊内镜检查中的应用效果

Application effect of changing body position in capsule endoscopy

目的探讨改变体位在胶囊内镜检查中的应用效果。方法选取湖北省中医院2018年1~12月行胶囊内镜检查的80例患者作为研究对象,按检查前后顺序随机分为对照组和观察组各40例,对照组采用端坐位吞服胶囊;观察组采用改变体位的方法。观察两组患者胶囊内镜通过食管、胃、小肠的时间及食管、胃腔、小肠疾病诊断阳性率。结果观察组患者的胶囊内镜通过食管时间长于对照组,差异有统计学意义(P<0.05);两组患者的胶囊内镜通过胃和小肠时间比较,差异无统计学意义(P>0.05)。观察组患者的胃腔疾病诊断阳性率高于对照组,差异有统计学意义(P<0.05);两组患者的食管及小肠疾病诊断阳性率比较,差异无统计学意义(P>0.05)。结论采用改变体位的方法,能有效提高胶囊内镜在食管的停留时间及拍摄量,提高胃腔疾病的诊断率。

Objective To explore the application effect of changing body position in capsule endoscopy.Methods Eighty patients who underwent capsule endoscopy from January to December 2018 were selected as the research objects.According to the sequence before and after the examination,40 patients were randomly divided into the control group and the observation group.The control group adopted the upright pusition to swallow the capsules,and observation group adopted the method of changing the body position.The time of capsule endoscopy passing through the esophagus,stomach and small intestine and the positive rate of diagnosis of esophagus,stomach and small intestine diseases were observed in the two groups.Results The duration of capsule endoscopy in the observation group was longer than that in the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences between the two groups by comparing the time of capsule endoscopy in the stomach and small intestine(P>0.05).The positive rate of gastric diseases in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences between the two groups in the positive rates of diagnosis of esophageal and intestinal diseases(P>0.05).Conclusion The method of changing the body position can effectively improve the duration and amount of the capsule endoscope in the esophagus,and significantly improve the diagnosis rate of gastric diseases.