自制防喷溅咬口在普通胃镜检查中的应用效果观察

柴先灯; 杨桂芳; 丁浩; 邹杨; 刘晓昌

doi:10.16766/j.cnki.issn.1674-4152.003138

自制防喷溅咬口在普通胃镜检查中的应用效果观察

doi: 10.16766/j.cnki.issn.1674-4152.003138

安徽医科大学第一附属医院消化内科，安徽合肥 230022

基金项目:

安徽省自然科学基金项目 1908085QH378

详细信息

通讯作者:
刘晓昌，E-mail：liuchenxiaochang@163.com

中图分类号: R473.57 R443.8
计量
- 文章访问数: 89
- HTML全文浏览量: 30
- PDF下载量: 7
- 被引次数: 0
出版历程
- 收稿日期: 2022-12-15
- 网络出版日期: 2023-09-13

Observation on the effect of self-made anti-splash oral pad in general gastroscopy

Department of Gastroenterology, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

摘要

摘要: 目的普通胃镜检查过程中，患者口腔分泌物易流出或喷溅，增加交叉感染的风险，本研究旨在探讨自制防喷溅咬口在临床应用中的安全性和实用效果。方法将2020年10—12月于安徽医科大学第一附属医院接受普通胃镜检查的60例患者通过随机数字表法将其分为观察组(使用自制防喷溅咬口)和对照组(使用常规一次性咬口)，观察2组患者检查前和检查中的血压、心率和血氧饱和度的变化，患者的口腔分泌物流出量、卫生纸上分泌物重量以及患者的满意度。结果 2组患者检查开始后2 min的收缩压、舒张压、心率与检查开始前5 min相比均有轻微升高，检查前后患者的血氧饱和度无明显改变(均P>0.05)；2组间患者的收缩压、舒张压、心率和血氧饱和度比较差异无统计学意义(均P>0.05)。观察组90%以上的分泌物收集到手套中[(16.19±2.15)g]，卫生纸上分泌物量极少[(1.85±0.31)g], 与对照组卫生纸上的分泌物量相比[(17.78±2.53)g]，差异有统计学意义(P < 0.01)。观察组患者的满意度也优于对照组(93.33% vs. 73.33%，P=0.038)。结论在普通胃镜检查过程中，采用自制防喷溅咬口，安全实用，能有效收集检查过程中流出或喷溅出的分泌物，避免因分泌物流出或喷溅所致的交叉感染，临床实践效果显著，且能明显提高患者的满意度，值得进行深入研究和临床推广。
- 普通胃镜 /
- 口腔分泌物 /
- 防喷溅 /
- 一次性咬口 /
- 自制
Abstract: Objective During general gastroscopy, patients ' oral secretions are prone to outflow or splashing, increasing the risk of cross infection. The purpose of this study is to explore the safety and practical effects of self-made anti-splash oral pad in clinical applications. Methods Sixty patients who underwent general gastroscopy in the First Affiliated Hospital of Anhui Medical University from October to December 2020 were randomly divided into observation group (using self-made anti-splash oral pad) and control group (using routine one-time oral pad) by the random digital table method. The changes of blood pressure, heart rate and blood oxygen saturation before and during the examination were observed in the two groups, as well as the outflow of oral secretions, the amount of secretions on lavatory paper and the satisfaction of patients. Results The systolic blood pressure, diastolic blood pressure and heart rate of the two groups were slightly increased 2 minutes after the examination compared with 5 minutes before the examination, and there was no significant change in blood oxygen saturation before and during the examination (all P>0.05). There was no significant difference in systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation between the two groups (all P>0.05). More than 90% of the secretions in the observation group were collected into the gloves [(16.19±2.15) g], and the amount of secretions on the lavatory paper was very little [(1.85±0.31) g]. Compared with the amount of secretions on the lavatory paper in the control group [(17.78±2.53) g], the difference was statistically significant (P < 0.01). The satisfaction of patients in the observation group was also better than that in the control group (93.33% vs. 73.33%, P=0.038). Conclusion In the process of general gastroscopy, the self-made anti-splash oral pad is safe and practical. It can effectively collect the outflow or splashed secretions during the inspection process and avoid cross infection caused by secretions. The clinical practice effect is significant, and it can significantly improve the patient ' s satisfaction. It is worthy of in-depth research and clinical promotion.
- General gastroscope /
- Oral secretion /
- Splash prevention /
- One-time oral pad /
- Self-made

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图 1 防喷溅咬口制作过程

注：防喷溅咬口的制作视频可扫二维码观看。

Figure 1. Production process of anti-splash oral pad

下载: 全尺寸图片幻灯片

表 1 2组胃镜下检查患者检查前和检查中血压、心率、血氧饱和度的比较(x±s)

Table 1. Comparison of blood pressure, heart rate and oxygen saturation before and during gastroscopy in 2 groups(x±s)

组别	例数	检查前5 min				检查开始后2 min
组别	例数	收缩压(mmHg)	舒张压(mmHg)	心率(次/min)	氧饱和度(%)	收缩压(mmHg)	舒张压(mmHg)	心率(次/min)	氧饱和度(%)
观察组	30	123.07±9.88	65.20±7.11	78.00±6.77	98.77±1.00	129.70±8.00	81.57±5.47	85.67±6.45	97.17±1.42
对照组	30	126.46±10.21	66.20±7.91	80.77±5.30	98.53±0.97	131.83±9.18	82.90±5.76	88.47±6.18	97.77±1.38
t值		-1.311	-0.515	-1.763	0.913	-0.960	-0.920	-1.717	-1.661
P值		0.195	0.608	0.083	0.365	0.341	0.361	0.091	0.102
注：1 mmHg=0.133 kPa。

下载: 导出CSV

表 2 2组胃镜下检查患者分泌物流出量的比较(x±s, g)

Table 2. Comparison of discharge volume under gastroscopy between the two groups(x±s, g)

组别	例数	卫生纸分泌物量	手套中分泌物量	分泌物总量
观察组	30	1.85±0.31	16.19±2.15	18.04±2.19
对照组	30	17.78±2.53	－	17.78±2.53
t值		-34.300		0.422
P值		< 0.001		0.675
注：－表示无此项。

下载: 导出CSV

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