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| 1 | 磁控胶囊内镜在上消化道疾病诊断应用中的医患反馈调查显示文摘目的了解磁控胶囊内镜应用于上消化道疾病诊断的可行性及医患满意度。方法纳入2013年10月13日至2014年9月1日接受磁控胶囊内镜检查的受检者146例,检查结束后完成问卷调查,内容包括检查过程中受检者满意度和操作者满意度评分、胃镜检查摄片质量评分及检查结果、受检者是否愿意再次接受相同检查方式进行复查等,分析检查完成情况、操作时间以及满意度。结果145例完成磁控胶囊内镜检查,完成率为99.3%(145/146),平均操作时间为(15.20±4.85)min。受检者满意度评分为4(4-4)分,耐受度评分为0(0-0)分;操作者满意度评分为4(44)分,胃部充盈度评分为3(34)分,胃部清洁度评分为3(24)分,视野相对清晰度评分为(79.31±14.16)分。检查结果为慢性浅表性胃炎最多见(67/145,46.2%),其次为胆汁反流(48/145,33.1%),正常胃(39/145,26.9%),胃息肉(20/145,13.8%),慢性萎缩性胃炎(18/145,12.4%),出血糜烂性胃炎(14/145,9.7%),反流性食管炎(6/145,4.1%),2.7%(4/145)为消化道溃疡,2.1%(3/145)受检者内镜诊断为上消化道肿瘤,十二指肠球炎2例,黄色素瘤、食管囊肿及食管静脉曲张各1例。145例(99.3%)愿意再次接受相同检查方式检查。均无胶囊滞留、穿孔或出血等不良事件发生。结论磁控胶囊内镜具有安全性、可操纵性、可行性及可接受性高的特点,可顺利完成对人体食管、胃、十二指肠的检查目的,并可明显改善受检者在常规胃镜检查过程中的不适,提高受检者的依从性和满意度。 | 方一 陈璐 刘倩 吴嘉钏 许斌 褚晔 钟捷 龚彪 夏璐 | 2016 | 中华全科医师杂志2016，15，1： | 12 |
| 2 | 基于梧桐模式的新型护理服务理念在老年危重症患者中应用价值研究显示文摘目的探究基于梧桐模式的新型护理服务理念在老年危重症患者中应用价值.方法研究纳入88例老年危重症患者,患者均由海南省人民医院重症科2017年8月—2019年1月收治,采取随机数字表法将患者分为两组,对照组患者(44例)常规护理干预,观察组患者(44例)在常规护理基础上联合'基于梧桐模式的新型护理服务理念'实施护理干预,对比两组患者干预后并发症发生率、意外事件发生率、患者住院时间及护理质量评分、干预前后患者生活质量评分(SF-36)、家属及患者对干预满意度.结果观察组患者并发症率(2.27%)低于对照组(15.91%),意外事件发生率(0.00%)低于对照组(11.36%),P<0.05;观察组患者住院时间短于对照组,护理质量评分优于对照组,P<0.01;干预前,各组患者SF-36评分相当,P>0.05,干预后各组患者SF-36评分改善,观察组评分优于对照组,P<0.05;观察组家属及患者满意率(95.45%)(97.73%)高于对照组(79.55%)、(79.55%),P<0.05.结论基于梧桐模式的新型护理服务理念在老年危重症患者中应用价值极高,患者住院期间并发症率及意外事件发生率较低,安全性较高,且患者住院时间短,恢复快,护理质量显著提升,患者生活质量改善,患者及家属满意率高,值得推广及应用. | 林秀珍 王霞 余盼君 | 2021 | 中国急救复苏与灾害医学杂志2021，16，4： | 9 |
| 3 | 超细胃镜的临床应用进展显示文摘超细胃镜经鼻插入可减少因接触舌根、刺激咽喉反射而引起的恶心、呕吐等不适,但由于与普通胃镜之间在镜身外径、钳道内径等参数上存在差异,超细胃镜的操作性。 | 张超 丁士刚 | 2011 | 中国微创外科杂志2011，11，4： | 8 |
| 4 | 鼻胃镜与普通胃镜对老年患者上消化道疾病诊治的临床对照研究显示文摘目的 评价鼻胃镜与普通胃镜应用于老年患者上消化道疾病诊疗的耐受性、临床价值及安全性.方法 对有上消化道疾病的116例老年患者(≥60岁)分别予以鼻胃镜、普通胃镜检查(每组各58例),对患者胃镜检查前、中、后的收缩压、舒张压、心率、呼吸频率、血氧饱和度及检查过程中的不适反应进行观察.结果 普通胃镜组收缩压、舒张压、心率较检查前有显著性升高,差异有统计学意义(P<0.05),血氧饱和度和呼吸频率无明显变化(P>0.05);鼻胃镜组患者收缩压、舒张压、心率与检查前比较升高,血氧饱和度及呼吸频率略低于检查前,但差异均无统计学意义(P>0.05).鼻胃镜组患者视觉模拟评分法(VAS)痛苦评分低于普通胃镜组,差异有统计学意义(P<0.01).结论 鼻胃镜的安全性及耐受性均优于普通胃镜,对于不能耐受普通胃镜检查的老年患者,鼻胃镜不失为一种安全、可行的内镜检查方法. | 陈静 李永成 于红刚 | 2014 | 临床内科杂志2014，31，4： | 5 |
| 5 | 经鼻胃镜上消化道检查的安全性和耐受性评估显示文摘目的通过比较非镇静经口、经鼻途径超细内镜(经鼻胃镜)检查前、检查中和检查结束时受检者血压、脉搏、血压×脉搏/100的动态变化和受检者的恶心反应程度,以评价经鼻胃镜检查的安全性和耐受性。方法对胃镜检查途径无选择意向者212例,随机分为经口和经鼻检查组各106例。分别监测检查前、检查中2min和检查结束时受检者的血压和脉搏,并评估受检者的恶心反应。结果经鼻检查组的血压、脉搏、血压×脉搏/100变化低于经口检查组(P<0.05);两组胃镜检查完成时间无明显差异(P>0.05);经鼻检查组的恶心反应低于经口检查组(P<0.05)。结论经鼻检查组的血压、脉搏、血压×脉搏/100升高幅度和受检者的恶心反应均较小,受检者具有较高的安全性和较好的耐受性。 | 杨根源 郭晓红 祝大奇 吴琼华 林欣 | 2011 | 中国现代医药杂志2011，13，5： | 2 |
| 6 | Ultrathin endoscope flexibility can predict discomfort associated with unsedated transnasal esophagogastroduodenoscopy显示文摘AIM: To evaluate the effects of choice of insertion route and ultrathin endoscope types. METHODS: This prospective study (January-June 2012) included 882 consecutive patients who underwent annual health checkups. Transnasal esophagogastroduodenoscopy (EGD) was performed in 503 patients and transoral EGD in 235 patients using six types of ultrathin endoscopes. Patients were given a choice of insertion route, either transoral or transnasal, prior to EGD examination. For transoral insertion, the endo-scope was equipped with a thin-type mouthpiece and tongue depressor. Conscious sedation was not used for any patient. EGD-associated discomfort was assessed using a visual analog scale (VAS; no discomfort 0maximum discomfort 10). RESULTS: Rates of preference for transnasal insertion were significantly higher in male (male/female 299/204 vs 118/117) and younger patients (56.8 ± 11.2 years vs 61.3 ± 13.0 years), although no significant difference was found in VAS scores between transoral and transnasal insertion (3.9 ± 2.3 vs 4.1 ± 2.5). Multivariate analysis revealed that gender, age, operator, and endoscope were independent significant predictors of VAS for transnasal insertion, although gender, age, and endoscope were those for transoral insertion. Further analysis revealed only the endoscopic flexibility index (EFI) as an independent significant predictor of VAS for transnasal insertion. Both EFI and tip diameter were independent significant predictors of VAS for transoral insertion. CONCLUSION: Flexibility of ultrathin endoscopes can be a predictor of EGD-associated discomfort, especially in transnasal insertion. | Satoshi Ono Keiko Niimi Mitsuhiro Fujishiro Tomoko Nakao Kazushi Suzuki Yumiko Ohike Shinya Kodashima Nobutake Yamamichi Tsutomu Yamazaki Kazuhiko Koike | 2013 | World Journal of Gastrointestinal Endoscopy2013，5，7： | 1 |
| 7 | Evaluation of preferable insertion routes for esophagogastroduodenoscopy using ultrathin endoscopes显示文摘AIM:To evaluate the discomfort associated with esophagogastroduodenoscopy(EGD)using an ultrathin endoscope through different insertion routes.METHODS:This study(January 2012-March 2013)included 1971 consecutive patients[male/female(M/F),1158/813,57.5±11.9 years]who visited a single institute for annual health checkups.Transnasal EGD was performed in 1394 patients and transoral EGD in 577.EGD-associated discomfort was assessed using a visual analog scale score(VAS score:0-10).RESULTS:Multivariate analysis revealed gender(M vs F:4.02±2.15 vs 5.06±2.43)as the only independent predictor of the VAS score in 180 patients who underwent EGD for the first time;whereas it revealed gender(M vs F 3.60±2.20 vs 4.84±2.37),operator,age group(A:<39 years;B:40-49 years;C:50-59years;D:60-69 years;E:>70 years;A/B/C/D/E:4.99±2.32/4.34±2.49/4.19±2.31/3.99±2.27/3.63±2.31),and type of insertion as independent predictors in the remaining patients.Subanalysis for gender,age group,and insertion route revealed that the VAS score decreased with age regardless of gender and insertion route,was high in female patients regardless of age and insertion route,and was low in males aged over60 years who underwent transoral insertion.CONCLUSION:Although comprehensive analysis revealed that the insertion route may not be an independent predictor of the VAS score,transoral insertion may reduce EGD-associated discomfort in elderly patients. | Satoshi Ono Keiko Niimi Mitsuhiro Fujishiro Yu Takahashi Yoshiki Sakaguchi Chiemi Nakayama Chihiro Minatsuki Rie Matsuda Itsuko Hirayama-Asada Yosuke Tsuji Satoshi Mochizuki Shinya Kodashima Nobutake Yamamichi Atsuko Ozeki Lumine Matsumoto Yumiko Ohike Tsutomu Yamazaki Kazuhiko Koike | 2014 | World Journal of Gastroenterology2014，20，17： | 0 |
| 8 | 胃镜下行消化道异物摘除术的临床护理干预的临床效果显示文摘目的研究探讨临床护理干预在胃镜下行消化道异物摘除术的临床效果。方法将我院2013年4月-2015年4月在胃镜下行消化道异物摘除术的患者78例按照统计学原理分为例数均为39例的对照组和观察组。对照组患者在手术实施期间实行常规护理配合措施,观察组患者手术操作的过程中采用干预模式,比较两组患者临床应用效果。结果结果显示,观察组患者并发症发生率低于对照组患者,数据符合统计学差异(P<0.05);与此同时,观察组患者护理效果满意度高于对照组患者,数据符合统计学差异(P<0.05)。结论患者在胃镜下行消化道异物摘除术的过程中,实行胃镜治疗护理干预模式,可以有效降低患者并发症的发生,提高患者对临床护理满意度,值得推广应用。 | 陈志兰 | 2015 | 世界最新医学信息文摘2015，0，96： | 0 |
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