目的 探讨经鼻胃镜在肝硬化患者中的临床应用价值.方法 85例肝硬化患者进行了经鼻胃镜检查,术后评估患者反应情况；曾接受经口胃镜检查治疗的患者,评估两种胃镜检查的不良反应程度；评估局部出血并发症与凝血功能、血小板计数的相关性.结果 85例肝硬化患者均完成经鼻胃镜上消化道检查,基本无不适者75例,稍有不适者8例,反应较大者2例；5例患者检查结束后出现鼻出血,占全部人群的5.9％；6例患者略感鼻腔内不适,观察后自行缓解消失.结论 经鼻胃镜可完成经口胃镜的诊断功能,术中不适感及术中、术后并发症轻而少,经鼻胃镜适于肝硬化患者常规检查.%Objective To explore the clinical application value of transnasal gastroscope in patients with cirrhosis. Methods 85 cirrhotic patients were examined by transnasal gastroscope and all patients' tolerance and objective reactions were evaluated after operation. Those patients who ever received transoral gastroscope examination were surveyed to judge the difference between transnasal gastroscope and transoral gastroscope. The correlation of nasal bleeding, blood coagulation function and platelet count were evaluated. Results Complete examination was made in all 85 cases. 75 patients had no complaints, 8 patients mild complaints and 2 patients above moderate complaints. 5 patients had nasal bleeding after operation, with a proportion of 5.9% to all patients. 6 patients felt uncomfortable in their nose, but soon spontaneous remission after operation. Conclusion Transnasal gastroscope was capable of performing the diagnostic functions of the general purpose as well as transoral electronic gastroscope. Patients suffered little in-operation discomforts and minor in-operation and after-operation complications. Transnasal gastroscope is suitable for cirrhotic patients for routine examination.
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