摘要
目的对胃镜检查前患者服用祛除胃内黏液药物后采取体位翻转干预对检查中黏膜清晰度影响的文献进行评价研究。方法检索Cochrane Library、Embase、PubMed、Web of Science和中国知网、万方医学等数据库,根据纳入和排除标准筛选文献,运用澳大利亚JBI循证卫生保健中心随机对照研究质量评价标准对纳入研究的文献质量进行评价,并进行描述性分析。结果共纳入5篇文献,3篇中文、2篇英文,涉及8种不同的体位干预措施。5篇文献均采用视野下内镜黏膜清晰度评分,干预后以食管、胃体、胃窦和十二指肠作用较为明显,3篇文献对内镜检查时间进行了测量,其中2篇文献提示观察组检查时间短于对照组。结论体位翻转有利于改善内镜下黏膜清晰度,缩短内镜检查时间,但仍需更多大样本、多中心随机对照试验进行更为精确的效果判断。
Objective To give evaluation study on literature on effect of position reversing intervention after using drugs removing gastric mucus before gastroscopy on mucosal clarity of gastroscopy.Method Search Cochrane Library,Embase,PubMed,Web of Science,CNKI and Wanfang data,screen the literature according to inclusion criteria and exclusion criteria.Evaluate the literature by the Australian JBI evidence tool.Make descriptive analysis.Result 5 articles are included,in which 3 articles are Chinese and 2 articles are English,involving 8 different kinds of position intervention.5 articles all use score on mucosal clarity of gastroscopy in the view.Esophagus、gastric body、gastric antrum and duodenum have significant effect after intervention.3 articles test gastroscopy time and 2 articles show that observation group has shorter gastroscopy time than control group.Conclusion Position reversing can improve mucosal clarity of gastroscopy and shorten gastroscopy time.It needs more samples and multicentre randomised controlled trial to prove its effect.
作者
操和龙
方良玉
陈来娟
陈婷
汪培培
Cao Helong;Fang Liangyu;Chen Laijuan;Chen Ting;Wang Peipei(The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou Zhejiang 310009,China)
出处
《护理与康复》
2019年第12期21-25,共5页
Journal of Nursing and Rehabilitation
基金
浙江省医药卫生科技计划项目(新技术适宜技术培育推广计划)
编号2019PY005
关键词
体位翻转
胃镜
黏膜清晰度
文献评价
position reversing
gastroscopy
mucosal clarity
literature evaluation
