資源描述：
《直腸鏡下取腸液隱血檢測(cè)和常規(guī)糞便隱血檢測(cè)的差異分析》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、析2018-04-0809:50:18中國(guó)現(xiàn)代醫(yī)生2018年4期龐寶妹［摘耍］戸的對(duì)比評(píng)價(jià)直腸鏡下取腸液檢測(cè)隱血和糞便隱血檢測(cè)，揭示直腸鏡下取腸液檢測(cè)隱血和糞便隱血檢測(cè)的差異所在。方法對(duì)本院1380例健康體檢人群行糞便血紅蛋白測(cè)定以及直腸鏡檢查和腸液血紅蛋口測(cè)定，并對(duì)結(jié)果進(jìn)行分析。結(jié)果體檢人群中糞便血紅蛋口的陽性率為13.77%,腸液血紅蛋白的陽性率為3.12%,查出直腸息肉的有41例。結(jié)論糞便隱血檢測(cè)是消化道出血篩查的重要方法，但是容易受到肛周出血性疾病如痔瘡、肛裂的影響出現(xiàn)假陽性。同吋因?yàn)榧S便隱血檢查的標(biāo)木依靠受檢者口主排便獲得，標(biāo)木在腸道中存留時(shí)間過長(zhǎng)，容易受消化酶和腸道細(xì)菌作用
2、，或者少量消化道出血與糞便混合不勻，取樣不足的情況下容易檢測(cè)出現(xiàn)假陰性。腸液血紅蛋白的檢測(cè)能避免這些因素的影響，得出不-?樣的結(jié)論。［關(guān)鍵詞］腸液隱血；糞便隱血；克腸鏡；消化道出血；差異分析［中圖分類號(hào)］R446.43［文獻(xiàn)標(biāo)識(shí)碼］B［文章編號(hào)］1673-9701(2018)04-0085-03［Abstract］ObjectiveTocompareandevaluatethedataofoccultbloodtestbycollectingintestinalfluidundercolonoscopeandstooloccultbloodtest,andtorevealthediff
3、ereneebetweenoccultbloodtestbycollectingintestinalfluidundercolonoscopeandstooloccultbloodtest.MethodsAtotalof1380peoplereceivingphysicalexaminationinourhospitalweregivenstoolhemoglobindetermination,andwerealsogivencolonoscopyandintestinalfluidhemoglobindetermination.Theresultswereanalyzed.Resul
4、tsThepositiverateofstoolhemoglobininthephysicalexaminationpeoplewas13.77%,andthepositiverateofintestinalfluidhemoglobinwas3.12%.Therewere41caseswithrectalpolyps?ConclusionStooloccultbloodtestisanimportantmethodofscreeningforgastrointestinalbleeding,butisvulnerabletoperianalhemorrhagicdiseasessuc
5、hashemorrhoids,analfissureandotherdiseasestoappearfalsepositiveresults.Atthesametime,becausethespecimensofstooloccultbloodtestareobtaineddependingonthesubjectstodefecatedependently,thespecimensmaybesusceptibletodigestiveenzymesandintestinalbacteriaiftheystayintheintestinefortoolong.Ortheremaybea
6、smallamountofgastrointestinalbleedingandunevenmixingofstools,andthusafalsenegativeresultmaybeobtainedifthespecimensareinsufficientIntestinalfluidhemoglobintestcanavoidtheimpactofthesefactors,comingintoadifferentconclusion.［Keywords］Intestinalfluidoccultblood；Stooloccultblood；Colonoscope；Gastroin
7、testinalbleeding:Differeneescore消化道出血是臨床常見癥狀z—,出血量少時(shí)通常通過糞便隱血實(shí)驗(yàn)檢測(cè)，糞便隱血檢測(cè)陽性的病例再進(jìn)一步行內(nèi)窺鏡檢查以求確診。結(jié)合臨床，有上消化道出血可能的行胃鏡檢查，有腸道出血可能的行全結(jié)腸鏡檢查。全結(jié)腸鏡檢查能發(fā)現(xiàn)結(jié)直腸腫瘤，將其作為結(jié)直腸腫瘤的精篩方法，己成為國(guó)內(nèi)外結(jié)直腸癌篩查的共識(shí)［1h各國(guó)對(duì)于結(jié)直腸癌篩查尚無統(tǒng)一方案，但都基本遵循簡(jiǎn)便、經(jīng)濟(jì)、靈敏的方案設(shè)計(jì)原則，在我國(guó)目前應(yīng)用的大
