摘要
目的探讨胶囊内镜检查在老年患者中的应用特点和安全性。方法收集2002年5月-2007年9月接受胶囊内镜检查的376例患者的临床资料,并根据年龄分为老年组(≥60岁,n=134)和对照组(<60岁,n=242)。比较两组的胶囊内镜检查情况,包括消化道转运时间、小肠检查完成率和检查中临床问题的发生情况;分析老年组胶囊内镜的检查结果。结果与对照组比较,老年组小肠转运时间明显延长,为(309.54±99.92)min vs(260.21±99.26)min(P=0.0003);小肠检查完成率明显降低,为58.2%vs 72.3%(P=0.00596)。老年组检查过程中临床问题明显高于对照组(38.1%vs 27.7%)(P=0.048),其中以胶囊滞留食管最为常见。老年组纳入诊断率统计的128例中有71例获阳性诊断(55.5%),其中42例为血管发育异常。结论老年患者胶囊内镜检查安全性较好,具有小肠转运时间相对延长、胶囊易滞留于食管、全小肠检查完成率相对较低以及血管病变是其最常见结果等特点。
Objective To evaluate the characteristics and safety of capsule endoscopy for elderly patients. Methods The clinical data of 376 patients who underwent capsule endoscopy between May 2002 and September 2007 were retrospectively analyzed, and patients were divided into geriatric group （ I〉 60 years old, n = 134） and control group （ 〈 60 years old,n = 242）. The course of capsule endoscopy was compared between the two groups, including the gastrointestinal transit time, completion rate and incidence of clinical problems, and the capsule endoscopic findings were analysed for geriatric group. Results Compared with control group, the small intestinal transit time was significantly longer in geriatric group [ （309.54 -＋ 99.92 ） rain vs （260.21 -＋ 99.26） min, P = 0. 0003 ] , and the completion rate was significantly lower （58.2% vs 72.3% , P = 0. 00596）. The incidence of clinical problems during examination was significantly higher in geriatric group than that in control group （38.1% vs 27.7% , P =0. 048） , and capsule retaining in the oesophagus was the most commonly occurred. Among the 128 patients in geriatiric group for statistical analysis, 71 （55.5%） were diagnosed positive, among whom 42 were angiodysplasias. Conclusion Capsule endoscopy is safe for elderly patients, with relatively longer small intestine transit time, lower completion rate, more chances of capsule retaining in the oesophagus and higher incidence of vasculopathy.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2008年第11期1449-1451,共3页
Journal of Shanghai Jiao tong University:Medical Science
关键词
胶囊内镜
安全性
血管病变
老年
capsule endoscopy
safety
angioectasias
elderly
