老年病人经肛双气囊小肠镜进镜效率及其影响因素研究

doi:10.3969/j.issn.1003-9198.2024.09.022

摘要/Abstract

摘要： 目的探讨老年病人经肛双气囊小肠镜检查(DBE)的进镜效率及影响因素。方法纳入2022年3月至2023年10月在南京医科大学第一附属医院老年内镜中心行经肛DBE的180例60岁以上的老年病人,收集其一般资料,采用渥太华肠道准备评分(OBPS)评估病人肠道准备质量,统计经肛DBE的进镜深度及操作时间,计算进镜效率,根据进镜效率分为高效组和低效组,分析进镜效率的影响因素。结果单因素分析显示,手术部位、息肉或憩室疾病、盲肠插管时间(CIT)与经肛DBE进镜效率相关。多因素Logistic回归分析显示,息肉等病史、手术部位及CIT是经肛DBE进镜效率的独立影响因素,有下腹部手术史的病人进镜效率较低。结论下腹部手术史、息肉或憩室疾病、CIT长会降低老年病人经肛DBE的进镜效率。

关键词: 老年人, 经肛双气囊小肠镜, 进镜效率, 盆腹部手术史, 息肉, 盲肠插管时间

Abstract: Objective To explore the efficiency and influencing factors of transanal double balloon enteroscopy (DBE) in the elderly patients. Methods The clinical data of 180 elderly patients aged over 60 years old who underwent transanal DBE examination in the Geriatric Endoscopy Center of our hospital from March 2022 to October 2023 were retrospectively analyzed. The general information of the elderly patients was collected, and the quality of intestinal preparation was evaluated by the Ottawa bowel preparation score(OBPS). The efficiency of transanal DBE was calculated according to the ratio of the depth of enteroscopy and operation time and the patients were divided into high efficiency group and low efficiency group. The influencing factors of the efficiency of enteroscopy were analyzed by multiple Logistic regression. Results The univariate analysis showed that the surgical site, polyp or diverticulum disease and cecal intubation time (CIT) were related to the efficiency of transanal DBE. Multiple Logistic regression analysis showed that polyp or diverticulum disease, surgical site and time of insertion into cecum were risk factors of the efficiency of transanal DBE in the elderly patients. Patients with a history of lower abdominal surgery showed low efficiency in transanal DBE. Conclusions The history of lower abdominal surgery, polyp or diverticulum disease and long CIT reduce the efficiency of transanal DBE in the elderly patients.

Key words: aged, transanal double balloon enteroscopy, efficiency, history of lower abdominal surgery, polyp, cecal intubation time

中图分类号:

R574

李晓敏, 李晓林, 栗杰, 吴蕾, 郝冉冉. 老年病人经肛双气囊小肠镜进镜效率及其影响因素研究[J]. 实用老年医学, 2024, 38(9): 958-961.

LI Xiaomin, LI Xiaolin, LI Jie, WU Lei, HAO Ranran. Efficiency influencing factors of transanal double-balloon enteroscopy in elderly patients[J]. Practical Geriatrics, 2024, 38(9): 958-961.

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