压力气枪持续吹气时间对消化内镜活检管腔干燥效果的影响

Effect of durations of continuous blowing with pressure air gun on drying of biopsy channel in digestive endoscopes

  • 摘要:
    目的 分析压力气枪持续吹气时间对消化内镜胃镜、结肠镜活检管腔的干燥效果。
    方法 选择天津医科大学第二医院2024年5月—2025年1月使用的胃镜和结肠镜,其中胃镜活检管腔内径2.8 mm和3.2 mm各有40件,且长度均为1 030 mm,结肠镜活检管腔内径3.2 mm(长度1 330 mm)、3.7 mm(长度1 330 mm)和3.7 mm(长度16 800 mm)各40件。先对各组以压力气枪持续吹气处理30、40、50、60、70 s,再使用干燥机先吹气5 min后,压力气枪持续吹气30、40、50、60、70 s。对比不同处理方式的管腔干燥效果。
    结果 以干燥机处理5 min后吹气,不同管径和长度胃镜均在吹气40 s获得100.00%的干燥率,管径3.2 mm(长度1 330 mm)和3.7 mm(长度1 330 mm)的结肠镜吹气60 s获得100.00%的干燥率,3.7 mm(长度1 680 mm)结肠镜吹气70 s获得100.00%的干燥率(P<0.05)。
    结论 基于干燥机先吹气5 min处理后再吹气,不同管径和长度胃镜吹气40 s可获得良好的干燥效果,结肠镜的干燥效果受管径和长度的增加,以及吹气时间延长影响。

     

    Abstract:
    OBJECTIVE  To analyze the drying effect of durations of continuous blowing with a pressure air gun on the biopsy channels of gastroscopes and colonoscopes.
    METHODS  Gastroscopes and colonoscopes used at the Second Hospital of Tianjin Medical University from May 2024 to Jan. 2025 were collected. For gastroscopes, there were 40 units each with biopsy channel inner diameters of 2.8 mm and 3.2 mm (both with a length of 1 030 mm). For colonoscopes, there were 40 units each with biopsy channel inner diameters of 3.2 mm (length 1 330 mm), 3.7 mm (length 1 330 mm), and 3.7 mm (length 1 680 mm). Each group was first subjected to continuous blowing with a pressure air gun for 30, 40, 50, 60 and 70 seconds. Subsequently, an endoscope drying machine was used to blow air for 5 minutes, followed by continuous blowing with the pressure air gun for 30, 40, 50, 60 and 70 seconds. The drying effectiveness of the biopsy channels was compared across the different processing methods.
    RESULTS  After initial drying with the endoscope drying machine for 5 minutes followed by pressure air gun blowing, 100.00% drying rates were achieved for all gastroscope biopsy channels (regardless of diameter and length) with 40 seconds of blowing. For colonoscopes, 100.00% drying rates were observed with 60 seconds of blowing for biopsy channels of 3.2 mm (length 1 330 mm) and 3.7 mm (length 1 330 mm), and with 70 seconds for the 3.7 mm channel (length 1 680 mm) (P<0.05).
    CONCLUSIONS  When preceded by 5 minutes of drying machine treatment followed by pressure air gun blowing, gastroscopes of varying biopsy channel diameters and lengths achieved good drying effects with 40 seconds of blowing. For colonoscopes, drying effectiveness was influenced by increases in channel diameter and length, requiring correspondingly longer blowing times.

     

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