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1、浅议同时进行无痛胃镜和肠镜检查的临床价值【摘要】目的探讨同时进行无痛胃镜、无痛肠镜检查对上消化道疾病诊断与治疗的优越性。方法随机把病人分为无痛组和对照组,无痛组又分为A组(23例)麻醉后由两位医生同时进行胃镜肠镜检查;B组(19例)在同一诊室麻醉后先进行胃镜检查再进行肠镜检查。C组(25例)麻醉后先进行胃镜检查,再送到肠镜室进行肠镜检查(无痛组)。对照组(18例)无麻醉下先进行胃镜检查,略休息后再到肠镜室进行肠镜检查。分析比较各组检查的情况。结果(1)无痛各组患者感觉满意均达100%,对照组满意55.6%,无痛组满意度显着高于对照组;
2、(2)各组操作时间及用药量:A组时间最短,用药最少,C组用药最多,对照组检查时间最长,各组用药量及检查时间差异有统计学意义(P<0.05);(3)无痛各组患者血压升高、心率增快均较对照组显着减少,但出现血氧饱和度下降较对照组多。结论同时进行无痛胃镜、肠镜检查是安全可行的诊治手段。【关键词】无痛胃镜;无痛结肠镜;并发症Abstract:ObjectiveToexploretheadvantageofsimultaneousapplicationofpainlessgastroscopyandpainlessenteroscopyi
3、nthediagnosisandthetreatmentofupperdigestivetractdiseases.MethodsThepatientsenrolledintothestudyweredividedintofourgroupsatrandom.InGoupA,thepatients(n=23)underwentgastroscopyand8enteroscopyatthesametimeafterbeinganaesthetised.InGroupB,thepatients(n=19)underwentgastrosc
4、opyandenteroscopysuccessivelyinthesameinspectionroomundertheconditionofanaesthesia.InGroupC,gastroscopywasperformedonthepatients(n=25)inGastroscopicRoomundertheconditionofanaesthesia,andthenenteroscopywasperformedinEnteroscopicRoom.InGroupDactingasacontrolgroup,gastrosc
5、opywasperformedonthepatients(n=18)inGastroscopicRoomwithoutanaesthesia,andafterawhileenteroscopywasperformedinEnteroscopicRoom.Results(1)Thefeelingsatisfactoryrateofanyofthepainlessgroupswasupto100%,andthecounterpartofthecontrolgroupwasdownto55.6%.Theformerwassignifican
6、tlyhigherthanthelatter.(2)ItwasinGroupAthattheshortesttimeandtheleastdrugdosagewereused.InGroupC,thelargestdrugdosagewasused,andinGroupDthelongestinspectiontimewasspent.Thereweresignificantdifferencesindrugdosageandinspectiontimeamongthegroups.(3)Increaseinbloodpresureo
7、rheartratewaslesscommoninthepainlessgroups,whilethedecreaseinbloodoxygensaturationwasmorecommon.ConclusionThesimultaneousapplicationofpainlessgastroscopyand8enteroscopyisasafeandreliableinspectionapproach.Keywords:painlessgastroscopy;painlessenteroscopy;complication胃肠镜是
8、消化道疾病诊治的主要方法,由于胃肠镜检查有一定的痛苦,部分患者因拒绝检查而延误诊断与治疗。目前无痛胃镜、无痛肠镜检查临床已经广泛开展,但同时进行无痛胃镜无痛肠镜检查尚未见报道。本组总结同时进行无痛胃镜、肠镜检查的患者67
