摘要
目的评价无痛胃镜治疗上消化道异物的应用效果。方法将随机选择的上消化道异物患者100例分为无痛组(n=50)和对照组(n=50)。无痛组患者经利多卡因胶浆咽部局麻后静脉注射咪达唑仑、芬太尼和异丙酚,待患者进入睡眠状态后进行胃镜下治疗;对照组患者仅予利多卡因胶浆咽部局麻后进行常规胃镜下治疗。监测两组患者在胃镜治疗过程中的平均动脉压(MAP)、心率(HR)、血氧饱和度(SPO2),观察患者在治疗中的反应,记录治疗时间及治疗结果。结果无痛胃镜组患者的平均动脉压、心率和不良反应发生率较对照组低,治疗时间较对照组短,治疗成功率较对照组高,差异有统计学意义(P<0.05);两组患者的血氧饱和度差异无统计学意义(P>0.05)。结论无痛胃镜治疗上消化道异物安全快捷、依从性好、成功率高。
Objective To evaluate the effect of painless gastroscopy in the treatment of upper gastrointestinal tract foreign body.Methods 100 patients were randomly chosen and divided into two groups with 50 cases each.The patients in the painless group was given midazolam,fentanyl and propofol intravenously after throat local anesthesia,and in the control group only underwent throat local anesthesia with lidocaine.Mean artery pressure（MAP）,heart rate（HR）,and pulse oximetry（SPO2）were monitored continuously;the treatment reaction,the treatment time and the treatment outcome were recorded.Results MAP,HR and the incidence rate of adverse reactions of the patients in the painless group were lower than those of the control group,the treatment time shorter than that of the control group,treatment success rate is higher than that of the control group（P〈0.05）,and no significantly difference was observed in SPO2.Conclusion The treatment of foreign body in upper gastrointestinal tract by painless gastroscopy is safe,quicker,high adaptable,with high success rate.
出处
《海南医学》
CAS
2010年第11期37-38,32,共3页
Hainan Medical Journal
关键词
上消化道
异物
无痛胃镜
Upper gastrointestinal tract
Foreign body
Painless gastroscopy
