西甲硅油及达克罗宁在无痛胃镜检查视野改善中比较.docVIP

西甲硅油及达克罗宁在无痛胃镜检查视野改善中比较罗宁组的21.25%、18.75%比较，明显较高（P0.05）。结论 无痛胃镜不使用黏膜清洁剂时内镜下视野差，推荐检查前常规使用西甲硅油乳剂或盐酸达克罗宁胶浆。两者均可有效改善视野，减少内镜下冲洗次数。盐酸达克罗宁胶浆对视野的改善优于西甲硅油乳剂，但从药物经济学的角度来考虑，西甲硅油乳剂比达克罗宁胶浆更值得推广 [关键词]西甲硅油；达克罗宁；诊断；无痛胃镜；视力改善 [中图分类号] R573 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0023-04 Comparision of vision improvement efficacy of Simethicone and Dyclonine on the painless gastroscopy YANG Zhi-wei1 WANG Sheng-bing1 WANG Fu-qun2 LAI Shang-dao3 ZENG Xiao-qian2 LAN Xia2 1.Department of Gastroenterology，Meizhou People′s Hospital in Guangdong Province，Meizhou 514031，China；2.Department of Endoscopy Center，Meizhou People′s Hospital in Guangdong Province，Meizhou 514031，China；3.Department of Anesthesiology，Meizhou People′s Hospital in Guangdong Province，Meizhou 514031，China [Abstract]Objective To compare the vision improvement efficacy of Simethicone Emulsion and Dyclonine Mucilageon in each part of the painless gastroscopy.Methods A total of 240 inpatients and outpatients given painless gastroscopy in our hospital from April to September 2016 were selected as object.All patients were divided into the control group，the Simethicone group and the Dyclonine group in accordance with the random number table method，and each group had 80 patients.The control group did not applicate any mucosal improvement agent.Patients in the Simethicone group were given 20 ml solution which contained 5 ml Simethicone emulsion and 15 ml normal saline orally before 10-15 min endoscopy，while the Dyclonine group was given 10 ml Dyclonine Hydrochloride Mucilage.The visibility under gastroscopy when checking was recorded.Results The rate of manually flush in the control group was 72.50%，which was rather high compared with the simethicone group （21.25%） and the dyclonine group （18.75%） （P0.05）.Conclusion The visibility of painless gastroscopy without mucosal improvement agent is bad，and the application of Simethicone Emulsion or Dyclonine Hydrochloride Mucilage is recommended before examination.Both of them