阅读说明：本技术 一种提高胃镜下黏膜清晰度的方法 (Method for improving definition of mucous membrane under gastroscope ) 是由 李国栋 张燕 董海燕 于 2021-07-02 设计创作，主要内容包括：本发明公开了一种提高胃镜下黏膜清晰度的方法,包括以下步骤：步骤一、患者术前20min口服链酶蛋白酶及二甲硅油散；步骤二、患者服用链酶蛋白酶及二甲硅油散后翻转身体15min,身体翻转顺序为左侧卧位、平躺、右侧卧位、平躺、左侧卧位；步骤三、给予患者一张纸巾,并叮嘱患者不要吞咽唾液,如有唾液吐于纸巾上；步骤四、进行常规胃镜检查。本发明与现有技术相比的优点在于：步骤合理且清晰,通过纸巾的应用及快速翻转身体,提高胃镜下黏膜清晰度,避免造成疾病的漏诊,特别是延误微小病变的诊治,可有效减少胃镜检查前患者唾液的吞咽对胃镜检查的影响,快速提高祛泡剂对胃黏膜的气泡及粘液的去除作用。(The invention discloses a method for improving the definition of mucous membrane under gastroscope, which comprises the following steps: step one, orally taking streptokinase protease and dimethicone powder 20min before operation of a patient; step two, the patient takes the streptokinase and the dimethicone powder and turns over the body for 15min, and the turning sequence of the body is a left lying position, a flat lying position, a right lying position, a flat lying position and a left lying position; giving a paper towel to the patient, and advising the patient not to swallow saliva, if the saliva is spitted on the paper towel; and step four, performing routine gastroscopy. Compared with the prior art, the invention has the advantages that: the method has the advantages that the steps are reasonable and clear, the definition of the mucous membrane under the gastroscope is improved through the application of the paper towel and the rapid turnover of the body, the missed diagnosis of diseases is avoided, particularly the diagnosis and treatment of tiny pathological changes are delayed, the influence of the swallowing of the saliva of a patient on the gastroscope before the gastroscope examination can be effectively reduced, and the removal effect of the defoaming agent on bubbles and mucus of the gastric mucous membrane is rapidly improved.)

1. A method of improving the clarity of the mucosa under a gastroscope comprising the steps of:

step one, orally taking streptokinase protease and dimethicone powder 20min before operation of a patient;

step two, the patient takes the streptokinase and the dimethicone powder and turns over the body for 15min, and the turning sequence of the body is a left lying position, a flat lying position, a right lying position, a flat lying position and a left lying position;

giving a paper towel to the patient, and advising the patient not to swallow saliva, if the saliva is spitted on the paper towel;

and step four, performing routine gastroscopy.

2. The method of improving the clarity of a mucosa under a gastroscope according to claim 1 wherein: the use method of the medium-chain enzyme protease in the first step is that 20000U chain enzyme protease, 1g sodium bicarbonate and 50ml warm water (20-40 ℃) are combined into a mixture for oral administration;

in the first step, 40ml of warm water is added into the dimeticone powder for mixing and then taking.

Technical Field

The invention relates to gastroscope clinical examination, in particular to a method for improving the definition of mucous membrane under a gastroscope.

Background

A great deal of research at home and abroad proves that the oral administration of a mucus dissolving agent, a defoaming agent and a gastric acid neutralizing agent to a patient before a gastroscopy operation can effectively remove bubbles and mucus in the stomach, improve the visibility during the gastroscopy operation and improve the detection rate of tiny pathological changes, particularly early gastric cancer. Currently, the anti-foaming agent and the mucus dissolving agent become main oral medicines prepared before gastroscopy operation, and a certain effect is achieved. However, when a patient receives an examination, the patient often has mental stress, saliva secretion is increased, and swallows saliva-mixed gas to form bubbles in the stomach, which affects the definition of the gastric mucosa and causes missed diagnosis of diseases, especially delays diagnosis and treatment of small pathological changes. There are currently few studies on how to reduce swallowing in patients' saliva prior to gastroscopy in clinical work. In addition, little research is done on how to rapidly improve the removal effect of the anti-foaming agent on air bubbles and mucus of the gastric mucosa.

Disclosure of Invention

The invention aims to solve the technical problems that before the gastroscopy, a patient is easy to have the situation of increased salivary secretion due to tension, swallows saliva-mixed gas to form bubbles in the stomach, influences the definition of the gastric mucosa, causes missed diagnosis of diseases, and particularly delays diagnosis and treatment of tiny lesions.

In order to solve the technical problems, the technical scheme provided by the invention is as follows: a method of improving the clarity of a mucosa under a gastroscope comprising the steps of:

step one, orally taking streptokinase protease and dimethicone powder 20min before operation of a patient;

step two, the patient takes the streptokinase and the dimethicone powder and turns over the body for 15min, and the turning sequence of the body is a left lying position, a flat lying position, a right lying position, a flat lying position and a left lying position;

giving a paper towel to the patient, and advising the patient not to swallow saliva, if the saliva is spitted on the paper towel;

and step four, performing routine gastroscopy.

Compared with the prior art, the invention has the advantages that: the method has the advantages that the steps are reasonable and clear, the definition of the mucous membrane under the gastroscope is improved through the application of the paper towel and the rapid turnover of the body, the missed diagnosis of diseases is avoided, particularly the diagnosis and treatment of tiny pathological changes are delayed, the influence of the swallowing of the saliva of a patient on the gastroscope before the gastroscope examination can be effectively reduced, and the removal effect of the defoaming agent on bubbles and mucus of the gastric mucous membrane is rapidly improved.

As an improvement, the use method of the first step of the medium chain enzyme protease is to use 20000U of the chain enzyme protease, 1g of sodium bicarbonate and 50ml of warm water (20-40 ℃) to form a mixture for oral administration;

in the first step, 40ml of warm water is added into the dimeticone powder for mixing and then taking.

Detailed Description

When the invention is implemented, the method for improving the definition of the mucous membrane under the gastroscope comprises the following steps:

step one, orally taking streptokinase protease and dimethicone powder 20min before operation of a patient;

step two, the patient takes the streptokinase and the dimethicone powder and turns over the body for 15min, and the turning sequence of the body is a left lying position, a flat lying position, a right lying position, a flat lying position and a left lying position;

giving a paper towel to the patient, and advising the patient not to swallow saliva, if the saliva is spitted on the paper towel;

and step four, performing routine gastroscopy.

The use method of the medium-chain enzyme protease in the first step is that 20000U chain enzyme protease, 1g sodium bicarbonate and 50ml warm water (20-40 ℃) are combined into a mixture for oral administration;

in the first step, 40ml of warm water is added into the dimeticone powder for mixing and then taking.

The working principle of the invention is as follows: the method improves the definition of mucous membrane under gastroscope by applying the paper towel and quickly turning over the body, avoids the missed diagnosis of diseases, and particularly delays the diagnosis and treatment of tiny pathological changes.

Preparation was performed before gastroscopy, all patients were preoperatively administered pronase and dimethicone powder 20min orally [ methods of use of pronase: 20000U of pronase protease, 1g of sodium bicarbonate and 50ml of warm water (20-40 ℃) are used for forming a mixture for oral administration; dimethicone oil powder is taken after being mixed with 40ml of warm water.

After taking pronase and dimethicone powder, the patient turns over the body (in the order of left lying position, lying down, right lying position, lying down, left lying position.) for 15min, gives the patient a paper towel, and orders the patient not to swallow saliva, if saliva spits on the paper towel.

Finally, routine gastroscopy is carried out. The addition of the two methods can improve the definition of the gastric mucosa and increase the detection rate of pathological changes of the gastric mucosa.

Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature, and in the description of the invention, "plurality" means two or more unless explicitly specifically defined otherwise.

In the present invention, unless otherwise specifically stated or limited, the terms "mounted," "connected," "fixed," and the like are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.

In the present invention, unless otherwise expressly stated or limited, "above" or "below" a first feature means that the first and second features are in direct contact, or that the first and second features are not in direct contact but are in contact with each other via another feature therebetween. Also, the first feature being "on," "above" and "over" the second feature includes the first feature being directly on and obliquely above the second feature, or merely indicating that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature includes the first feature being directly above and obliquely above the second feature, or simply meaning that the first feature is at a lesser level than the second feature.

In the description herein, reference to the terms "one embodiment," "some embodiments," "an example," "a specific example," or "some examples" or the like means that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.

Although embodiments of the present invention have been shown and described above, it is understood that the above embodiments are exemplary and should not be construed as limiting the present invention, and that variations, modifications, substitutions and alterations can be made in the above embodiments by those of ordinary skill in the art without departing from the principle and spirit of the present invention.