无痛胃镜检查的临床应用分析

摘要

ObjectiveTo investigate the safety and value of painless gastroscopy.MethodsA consecutive retrospective review of 500 patients who 150 underwent ordinary gastrocopy and 350 underwent painless gastroscopy. Record the SBP,DBP,HR,RR,SpO2,adverse reactions, complications,operation time and evaluate the compliance and pain in patient.ResultsThe SBP,DBP,HR,RR in common gastroscope group were higher,but SpO2 was more lower than painless gastroscope group during examination(P<0.05). The SBP,DBP,HR,RR in two groups had signifi cant changes between pre-examination and examination. The SpO2 in ordinary gastroscope group is decreased obviously(P<0.05),but painless gastroscopy group had no signifi cantly change(P>0.05). the ordinary gastroscope group had more adverse reactions and higher adverse reaction rate than painless gastroscopy group. There no serious complications occurred in the process of examination intwo groups. The operation time in painless gastroscope group(4.32+1.67)min was less than ordinary gastroscope group(8.06+ 1.43)min(P<0.05). The VAS score in ordinary gastroscope group(7.51±2.36)was signifi cantly higher than painless gastroscope group(2.51±1.09)(P<0.05). The excellent and good rate of inspection compliance that was 12.67% in ordinary gastroscope group(excellent 0 cases,good 19 cases,bad 131 cases)was lower than the excellent and good rate of inspection compliance that was 93.72% in painless gastroscope group(excellent 283 cases,good 45 cases,bad 22 cases)(P<0.05). ConclusionsPainless gastroscope are safer and valuer than ordinary gastroscope on clinical application.%目的：探讨无痛胃镜的临床价值和安全性。方法回顾性分析500例胃镜检查病例，其中150例患者进行普通胃镜检查，350例患者进行无痛胃镜检查。记录患者胃镜检查前和检查过程中的收缩压、舒张压、心率、呼吸频率、血氧饱和度以及不良反应、并发症、操作时间，评价患者对检查的依从性和疼痛感。结果检查中普通胃镜组患者的收缩压、舒张压、心率、自主呼吸频率较无痛胃镜组明显升高，血氧饱和度则明显下降（P<0.05）。与检查前比较两组患者检查中的收缩压、舒张压、心率、呼吸频率均有明显变化（P<0.05）。普通胃镜组患者检查中血氧饱和度较检查前明显降低（P<0.05），无痛胃镜组检查中血氧饱和度较检查前无明显变化（P>0.05）。与无痛胃镜组比较普通胃镜组出现的不良反应多，且不良反应率高（P<0.05）。两组在检查过程中均未出现严重的并发症。无痛胃镜组平均操作时间（4.32±1.67） min，普通胃镜组平均（8.06±1.43）min，两组比较差异有统计学意义（P<0.05）。普通胃镜组患者的平均疼痛视觉模拟评分（VAS）（7.51±2.36）min，明显高于无痛胃镜组患者（2.51±1.09）min（P<0.05）。普通胃镜组检查依从性优0例，良19例，差131例，其优良率为12.67%。无痛胃镜组优283例，良45例，差22例，优良率为93.72%，两组优良率差异有统计学意义（P<0.05）。结论无痛胃镜较普通胃镜更具安全性和临床应用价值，适合在基层医院大力推广。