[1]陈萃,陈丽珊,刘晓岚,等.胆胰疾病患者内镜下逆行胆胰管造影术术前胃潴留风险的预测研究[J].军事护理,2022,39(08):46-49.[doi:10.3969/j.issn.2097-1826.2022.08.012]
　CHEN Cui,CHEN Lishan,LIU Xiaolan,et al.Risk Prediction of Gastric Retention Before Endoscopic Retrograde Cholangiopancreatography in Patients with Biliopancreatic Diseases[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(08):46-49.[doi:10.3969/j.issn.2097-1826.2022.08.012]
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胆胰疾病患者内镜下逆行胆胰管造影术术前胃潴留风险的预测研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年08期
页码:
46-49
栏目:
论著
出版日期:
2022-08-15

文章信息/Info

Title:
Risk Prediction of Gastric Retention Before Endoscopic Retrograde Cholangiopancreatography in Patients with Biliopancreatic Diseases
文章编号:
2097-1826(2022)08-0046-04
作者:
陈萃1; 陈丽珊2; 刘晓岚1; 付亭亭1; 钱琳1; 方佩颖1; 叶志霞2
(1.海军军医大学第三附属医院 消化内科,上海 201805; 2.海军军医大学第三附属医院 护理部)
Author(s):
CHEN Cui1; CHEN Lishan2; LIU Xiaolan1; FU Tingting1; QIAN Lin1; FANG Peiying1; YE Zhixia2
(1.Department of Gastroenterology,The Third Hospital Affiliated to Naval Medical University,Shanghai 201805,China,2.Department of Nursing,The Third Hospital Affiliated to Naval Medical University)
关键词:
胆胰疾病;  内镜下逆行胆胰管造影术;  胃潴留;  GCSI量表;  预测
Keywords:
biliopancreatic diseases;  endoscopic retrograde cholangiopancreatography;  gastric retention;  GCSI scale;  prediction
分类号:
R473.57; R825.7
DOI:
10.3969/j.issn.2097-1826.2022.08.012
文献标志码:
A
摘要:
目的 分析胃轻瘫主要症状指数(gastroparesis cardinal symptom index,GCSI)量表及胃潴留危险因素评估,对胆胰疾病患者发生胃潴留的预测效果。方法 采用GCSI量表及相关危险因素调查表,在421名胆胰疾病患者内镜下逆行胆胰管造影术(endoscopic retrograde cholangiopancreatography,ERCP)术前进行评估,于术中观察验证是否有胃潴留。采用受试者工作特征(receiver operating characteristic,ROC)曲线法分析GCSI量表对胆胰疾病患者发生胃潴留的预测效果。结果 胆胰疾病患者发生胃潴留GCSI量表最佳临界值为25分,其预测灵敏度、特异度分别为87.5%、91.4%,ROC曲线下面积为0.979。女性、胆胰恶性肿瘤、消化道梗阻为患者发生胃潴留的独立危险因素,其预测灵敏度、特异度分别为83.3%、77.1%,ROC曲线下面积为0.916。GCSI量表预测胆胰疾病患者胃潴留的准确度较高。结论 GCSI量表可作为胆胰疾病患者ERCP术前筛查胃潴留的工具。对于GCSI量表评分≥25分的患者,可提前给予预防措施,从而保证ERCP的按期顺利实施。
Abstract:
Objective To analyze the effect of Gastroparesis Cardinal Symptom Index(GCSI)scale and gastric retention risk factor assessment questionnaire in predicting the incidence of gastric retention in patients with biliopancreatic diseases by using.Methods 421 patients were assessed before endoscopic retrograde cholangiopancreatography(ERCP)using GCSI scale and self-related risk factors questionnaire and then the occurrence of gastric retention were observed during ERCP.Receiver operating characteristic(ROC)curve method was used to analyze the GCSI scale score and risk factors to predict the gastric retention in patients with biliopancreatic diseases.Results In ROC curve,the optimal critical value of GCSI scale for patients with biliopancreatic diseases was 25,and the predictive sensitivity and specificity were 87.5% and 91.4% respectively,while the areas under the ROC curve was 0.979.Female,biliopancreatic malignancy,gastrointestinal obstruction were independent risk factors for gastric retention,and the predictive sensitivity and specificity were 83.3% and 77.1% respectively.The areas under the ROC curve was 0.916.GCSI scale was more accurate than risk factors in predicting gastric retention in patients with biliopancreatic diseases.Conclusions GCSI scale can be used as a routine screening method before ERCP.For patients with GCSI scores ≥25,preventive measures could be taken before ERCP to ensure the safety and implementation of ERCP as planned.

参考文献/References:

[1] 王书智,胡冰.ERCP护理培训教程[M].上海:上海科学技术出版社,2017:125.
[2] 陈萃,叶志霞,刘晓岚,等.胆胰疾病患者内镜治疗前非梗阻性胃潴留危险因素的病例对照研究[J].中华消化内镜杂志,2020,37(8):562-566.
[3] 陈灏珠.实用内科学[M].11版.北京:人民卫生出版社,2001:175.
[4] REVICKI D A,RENTZ A M,DUBOIS D,et al.Gastroparesis cardinal symptom index(GCSI):development and validation of a patient reported assessment of severity of gastroparesis symptoms[J].Qual Life Res,2004,13(4):833-844.
[5] 徐泽.电针对糖尿病胃排空功能影响的初步研究[D].济南:山东中医药大学,2013:39.
[6] GOURCEROL G,MELCHIOR C,WUESTENBERGHS F,et al.Delayed gastric emptying as an independent predictor of mortality in gastroparesis[J].Aliment Pharmacol Ther,2022,55(7):867-875.
[7] JUNG H K,CHOUNG R S,LOCKE G R,et al.The incidence,prevalence,and outcomes of patients with gastroparesis in Olmsted county,Minnesota,from 1996 to 2006[J].Gastroenterology,2009,136(4):1225-1233.
[8] BONETTO S,GRUDEN G,BECCUTI G,et al.Management of dyspepsia and gastroparesis in patients with diabetes.A clinical point of view in the year 2021[J/OL].[2021-11-21].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004823/.DOI:10.3390/jcm10061313.
[9] 周世振,翁昊,雷粟,等.术前胃底体积大小对胃癌根治术后胃瘫危险性的预测价值[J].中华普通外科杂志,2021,36(4):272-276.
[10]赵群远,宋肖肖,杨春燕.重症急性胰腺炎恢复期胃瘫发生情况及相关因素分析[J].西部医学,2018,30(12):1774-1777.
[11]姜亚,吴高珏,汤玉蓉,等.雌激素在糖尿病胃轻瘫中的作用[J].世界华人消化杂志,2015,23(24):3888-3893.
[12]姜亚,林琳.胃轻瘫临床诊断和治疗的新进展[J].中国全科医学,2021,24(15):1978-1983.
[13]VIJAYVARGIYA P,JAMEIE-OSKOOEI S,CAMILLERI M,et al.Association between delayed gastric emptying and upper gastrointestinal symptoms a systematic review and meta-analysis[J].Gut,2019,68(5):804-813.
[14]REVICKI D A,SPECK R M,LAVOIE S,et al.The American neurogastroenterology and motility society gastroparesis cardinal symptom index-daily diary(ANMS GCSI-DD):Psychometric evaluation in patients with idiopathic or diabetic gastroparesis[J/OL].[2021-11-21].https://onlinelibrary.wiley.com/doi/epdf/10.1111/nmo.13553.DOI:10.1111/nmo.13553.
[15]周岩,马慧卿,杨振杰,等.电针胃下合穴与合募配伍治疗胃轻瘫疗效对照观察[J].中国针灸,2020,40(9):925-927,932.
[16]PARKMAN H P,HALLINAN E K,HASLER W L,et al.Early satiety and postprandial fullness in gastroparesis correlate with gastroparesis severity,gastric emptying,and water load testing[J/OL].[2021-11-21].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367988/.DOI:10.1111/nmo.12981.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-12-06 【 修回日期 】 2022-06-15
【 基金项目 】 上海市科技创新行动计划医学领域项目(16411 951700); 海军军医大学护理学高峰学科青年培养工程(18QPFH25)
【 作者简介 】 陈萃,硕士,副主任护师,从事消化内科护理工作
【 通信作者 】 叶志霞,电话:021-81875091
更新日期/Last Update: 2022-08-15