无痛与普通电子胃镜下食管相关疾病检出率及患病人群特征分析

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Abstract Objective To investigate the difference of detection rate of esophageal related diseases between painless and common electronic gastroscope and the gender and age characteristics of the affected population. Methods The data of 8643 adult electronic gastroscopes in the Endoscopy Center of Xiyuan Hospital, China Academy of Chinese Medical Sciences from November 2014 to November 2019 were retrospectively analyzed, they were grouped in different ways. According to the examination methods, they were divided into the painless group (4012 cases) and the ordinary group (4631 cases), and the detection of esophageal related diseases in the two groups were compared. According to gender, they were divided into male group (3610 cases) and female group (5033 cases). According to age, the patients were divided into young group (18-44 years old, 2916 cases), middle ege group (45-59 years old, 3445 cases) and old group (≥60 years old, 2282 cases). The characteristics of the patients were analyzed. Results The detection rates of oropharyngeal lesions, short esophagus, stomach esophagus mucosa ectopic, papillary tumor in painless group were higher than those in ordinary group, the detection rates of candida esophagitis, hiatal hernia, esophageal cancer, cardiac relaxation loss, cardiac relaxation, poor cardiac dilatation and cardia inflammatory change were lower than those ordinary group, the differences were statistically significant (all P ＜ 0.05). The detection rates of oropharyngeal lesions, reflux esophagitis, candida esophagitis, hiatal hernia, stomach esophagus mucosa ectopic, early esophageal cancer, esophageal cancer and cardiac relaxation in the male group were higher than those in the female group, and the detection rate of short esophagus in the female group was higher than that in the male group, with statistical significance (all P ＜ 0.05). The detection rates of oropharyngeal lesions, reflux esophagitis, candida esophagitis, papillary tumor and cardiac relaxation in the young and old groups were all lower than those in the middle age group, with statistical significance (all P ＜ 0.017). The detection rates of short esophagus, hiatal hernia, stomach esophagus mucosa ectopic, early esophageal cancer, poor cardiac dilatation, and cardia inflammatory in the young group were lower than those in the middle age group and the old group, the detection rates of stomach esophagus mucosa ectopic, cardia inflammatory in the young group were lower than those in the middle age group, and higher than those in the old group. And the detection rates of ecotopia of short esophagus, stomach esophagus mucosa ectopic and cardia inflammatory in the old group were lower than those in the middle age group, with statistical significance (all P ＜ 0.017). The detection rates of esophageal cancer and cardiac relaxation loss in the young group were lower than those in the old group, and the differences were statistically significant (all P ＜ 0.017). Conclusion The two methods of gastroscopy have their own advantages and disadvantages in the detection of esophageal related diseases, and the endoscopy method that conforms to the principle of cost-valence should be selected from the perspective of safety and economics according to the disease characteristics, gender and age characteristics of the patients.

Key words： Painless electronic gastroscope Esophageal related diseases Detection rate Affected population

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	KE Jun1 WU Huixiao1 DAI Xiaotong2 CAI Yidong1

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KE Jun1 WU Huixiao1 DAI Xiaotong2 CAI Yidong1. Analysis of detection rate and the affected population characteristics of esophageal related diseases under painless and common electronic gastroscope[J]. 中国医药导报, 2021, 18(16): 78-81.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I16/78

[1] 柳安琪，陈汶.食管微生物与食管相关疾病研究进展[J].中华肿瘤志，2019，41（8）：561-564.
[2] 国家消化内镜专业质控中心，国家消化系疾病临床医学研究中心（上海），国家消化道早癌防治中心联盟，等.中国早期食管癌及癌前病变筛查专家共识意见（2019年，新乡）[J].中华消化内镜杂志，2019，36（11）：793-801.
[3] 李小桂.无痛胃镜检查的临床应用现状[J].中外医学研究，2019，17（3）：180-182.
[4] 李静海.无痛胃镜与常规胃镜检查效果的对比分析[J].山西医药杂志，2015（11）：1294-1295.
[5] 细井董三.标准胃镜检查[M].沈阳：辽宁科学技术出版社，2013：1-10.
[6] 李兆申，邓小明，孙涛，等.中国消化内镜诊疗镇静麻醉专家共识意见[J].中国实用内科杂志，2014，34（8）：756-764.
[7] 龚均，董蕾，王进海.实用胃镜学[M].2版.西安：世界图书西安出版公司，2011：3-117.
[8] 令狐恩强，韩英.胃肠诊断图谱：上消化道（第2版）[M].沈阳：辽宁科学技术出版社，2016：13-18.
[9] 郭展鹏，次仁央金，旦增，等.西藏地区食管疾病内镜检出情况分析[J].西藏科技，2020（4）：58-60，63.
[10] 陶源，王博，徐静，等.9659例电子胃镜检查结果分析[J].重庆医学，2020，49（9）：1525-1529.
[11] 岳伟，张丽，郭强.无痛苦胃肠镜技术应用十年分析[J].中华消化内镜杂志，2013，30（2）：97-99.
[12] 中华医学会麻醉学分会，中华医学会消化内镜学分会.中国消化内镜诊疗镇静/麻醉的专家共识[J].临床麻醉学杂志，2014，30（9）：920-927.
[13] 姜亚，林琳.食管上段胃黏膜异位的内镜特点及临床意义[J].中华全科医师杂志，2019，18（9）：885-888.
[14] 平付敏，郭永泽，王静，等.食管胃黏膜异位检出率的影响因素分析及其对食管检查质量评价的研究[J].河北医科大学学报，2017，38（6）：642-645.
[15] 刘琳刚.无痛胃镜与普通胃镜对贲门暴露程度影响及对策研究[D].杭州：浙江大学，2016.
[16] T?觟x U，Schumacher B，Toermer T，et al. Propofol sedation for colonoscopy with a new ultrathin or a standard endoscope：a prospective randomized controlled study [J]. Endoscopy，2013，45（6）：439-444.
[17] 陈钟，敖少军，刘文平，等.透明帽辅助无痛胃镜对未充分暴露的贲门疾病诊断作用[J].东南国防医药，2017， 19（2）：150-152.
[18] 陈翠.近五年胃镜下检出的16898例食管疾病的分析[D].长沙：中南大学，2014.
[19] Green J，Roddam A，Pirie K，et al. Reproductive factors and risk of oesophageal and gastric cancer in the Million Women Study cohort [J]. Br J Cancer，2012，106（1）：210-216.
[20] Karimi P，Islami F，Anandasabapathy S，et al. Gastric cancer：descriptive epidemiology，risk factors，screening，and prevention [J]. Cancer Epidemiol Biomarkers Prev，2014，23（5）：700-713.
[21] 冯祥，华召来，钱东福，等.江苏省扬中市40～69岁高危人群食管癌筛查结果分析[J].中华流行病学杂志，2020， 41（6）：908-912.
[22] 魏晟，董丽凤，蒋大健，等.北京城市社区老年胃食管反流病临床特征研究[J].中国当代医药，2019，26（20）：155-158.
[23] 吴曦，许乐.90岁以上高龄老年人胃镜检查结果分析[J].中华老年医学杂志，2013，32（12）：1300-1302.
[24] 柴天波，杨川，赵泽宇，等.不同剂量纳布啡复合丙泊酚静脉麻醉用于老年无痛胃镜的效果及对神经认知紊乱的影响[J].中国医药导报，2020，17（31）：126-129， 157.
[25] 黄业华.老年患者无痛胃肠镜联合检查的临床安全性分析[J].临床合理用药杂志，2020，13（16）：129-130.