摘要
目的探讨无痛胃肠镜在消化科疾病诊治中的应用效果及对患者血氧饱和度(SpO_2)、血压、心率(HR)及应激反应的影响。方法选取该院实施胃肠镜检查的300例患者为研究对象,根据患者采取的检查方法分为无痛组(无痛胃肠镜诊治)150例、常规组(传统普通胃肠镜检查)150例,对比2组的操作情况、并发症,以及SpO_2、血压、HR、肾上腺素、去甲肾上腺素、皮质醇水平。结果检查前,2组患者的SBP、DBP、HR及SpO_2、肾上腺素、去甲肾上腺素、皮质醇水平比较,差异均无统计学意义(P>0.05);检查中及检查后,无痛组患者的SBP、DBP、HR、肾上腺素、去甲肾上腺素、皮质醇水平低于常规组,无痛组的呛咳、疼痛发生率明显低于常规组,操作时间明显少于常规组,手术操作依从性优于常规组,差异均有统计学意义(P<0.05)。结论无痛胃肠镜在消化科疾病诊治中对患者的血流动力学影响较小,患者应激反应程度低,并发症少,操作配合更好。
Objective To investigate the effect of painless gastrointestinal endoscopy in the diagnosis and treatment of digestive diseases and its influence on blood oxygen saturation（SpO2）,blood pressure,heart rate（HR）and stress response.Methods A total of 300 patients receving gastrointestinal endoscopy were recruited as objects in this study,and were divided into painless group（receiving painless gastrointestinal endoscopy,150 cases）and conventional group（receiving conventional gastrointestinal endoscopy,150 cases）according to the inspection method,operating conditions,complications and blood pressure,SpO2,HR,levels of epinephrine,norepinephrine,cortisol in the two groups were compared.Results Before the examination,SBP,DBP,HR and SpO2,levels of epinephrine,norepinephrine,cortisol in the two groups showed no significant differences（P〈0.05）.During inspection,after inspection,SBP,DBP,HR,epinephrine,norepinephrine,cortisol levels in the painless group were lower than those in the conventional group,the incidences of cough and pain were significantly lower than those in the conventional group,the operation time in painless group was significantly lower than that of conventional group,normal operation compliance in painless group was better in painless group than the painless group,the differences were significant（P〈0.05）.Conclusion Painless gastrointestinal endoscopy in the diagnosis and treatment of digestive diseases in patients with hemodynamic effects of small,low degree of stress response,fewer complications,better operation.
作者
王叶庆
WANG Yeqing(Department of Anesthesia, Xuancheng People＇s Hospital, Xuancheng ,Anhui 242000, Chin)
出处
《检验医学与临床》
CAS
2018年第10期1455-1457,1461,共4页
Laboratory Medicine and Clinic
关键词
无痛胃肠镜
胃肠疾病
血氧饱和度
血压
应激
painless gastrointestinal endoscopy
gastrointestinal disease
blood oxygen saturation
heart rate
stress
