| 郭天宇.胃镜检查中影响食管胃结合部可视化程度的相关因素分析[J].安徽医药,待发表. |
| 胃镜检查中影响食管胃结合部可视化程度的相关因素分析 |
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| 投稿时间：2023-09-26 录用日期：2023-11-13 |
| DOI： |
| 中文关键词: 食管胃结合部 胃镜检查 可视化程度 |
| 英文关键词: |
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| 摘要点击次数: 171 |
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| 中文摘要: |
| 目的：分析胃镜检查中可能影响食管胃结合部（esophagogastric junction，EGJ）可视化程度的因素。方法：回顾性收集2022年10月至2023年6月于我院内镜中心行胃镜检查的492例患者资料。评估患者EGJ展开的完整程度，分为易观察组（n=308）和难观察组（n=184），采用卡方检验行单因素分析，有统计学意义的变量进入二分类logisitic回归模型分析影响胃镜检查中EGJ可视化程度的可能因素。结果：经多因素logisitic回归分析校正后显示镇静（P<0.001，OR=2.264，95%CI：1.464-3.500）可降低EGJ可视化程度。胆碱受体阻断剂、BMI≥24?kg/m2、胃食管阀瓣分级（III+IV级）、反流性食管炎（均P<0.05，OR值小于1），均可提高EGJ可视化程度。结论：胆碱受体阻断剂、BMI≥24?kg/m2、胃食管阀瓣分级（III+IV级）、反流性食管炎均为提高EGJ可视化程度的因素。镇静为影响EGJ可视化程度的独立危险因素。 |
| 英文摘要: |
| Objective: To analyze the factors that may affect the degree of visualization of the esophagogastric junction (EGJ) during gastroscopy. Methods: The data of 492 patients who underwent gastroscopy in the endoscopy center of our hospital from October 2022 to June 2023 were retrospectively collected. The whole degree of EGJ expansion in patients was evaluated and divided into easy-to-observe group (n=308) and difficult-to-observe group (n=184). Chi-square test was used to Carry out single-factor analysis. Statistically significant variables were entered into the binary logistic regression model that analyzes possible factors affecting the degree of EGJ visualization during gastroscopy. Results: After adjustment by multivariate logistic regression analysis, it was shown that sedation (P<0.001, OR=2.264, 95%CI: 1.464-3.500) can reduce the degree of EGJ visualization. Choline receptor blockers,BMI≥24kg/m2, gastroesophageal valve classification (Grade III+IV), and reflux esophagitis (all P<0.05, OR value less than 1) can all improve EGJ visualization.Conclusions: Choline receptor blockers, BMI≥24 kg/m2, gastroesophageal valve classification (Grade III+IV), and reflux esophagitis are all factors that improve the degree of EGJ visualization. Sedation is an independent risk factor that affects the degree of EGJ visualization. |
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