文摘

背景:内窥镜检查前病人接受一个不舒服的流体快速降低胃酸愿望的风险和确保良好的内窥镜的观点。然而,液体迅速离开胃,因此很长一段流体快速前内镜可能不是必需的。目的:本研究的目的是确定饮酒前内镜干渴是安全的,能缓解病人的症状。患者和方法:88例美国社会的这身体状况分类等级I和II被招募在随机单盲试验控制。获得的胃管的体积和pH值在胃镜检查是评估患者喝330毫升的水最少90分钟前内镜挨饿过夜的病人并与值。结果:44个病人喝(“酒徒”)330毫升的水平均117分钟前早上胃镜检查有类似的体积和pH值的胃管与44岁的患者相比挨饿过夜(“绝食者”);平均体积12.5毫升和10毫升,平均pH值2.0和2.0;“人”与“绝食者”(NS)。内窥镜检查前病人被要求分数他们口渴和饥饿评级为none,轻微、中等和严重之分。中度和重度的渴收视率组合在一起进行分析。 The percentage of drinkers compared with starvers in each group with no thirst, mild thirst, and moderate severe thirst was 63%, 46%, and 37% respectively (chi 2 test for trend p < 0.05). Hunger ratings were similar in the two groups. CONCLUSIONS: It is safe for elective day cases to drink a significant volume of water two hours before endoscopy and this alleviates symptoms of thirst.