同时进行无痛胃镜和肠镜检查的临床价值.doc

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1、同时进行无痛胃镜和肠镜检查的临床价值作者：戴益琛，谢军培，曾伟，蔡铁良，蔡英慰，陈文柳，申爱华，涂金芳【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％，无痛组满意度显著高于

2、对照组；(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著减少，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：ObjectiveToexploretheadvantageofsimultaneousapplicationofpainlessgastroscopyandpainlessenteroscopyinthediagnosisandthetrea

3、tmentofupperdigestivetractdiseases.MethodsThepatientsenrolledintothestudyweredividedintofourgroupsatrandom.InGoupA,thepatients(n=23)underwentgastroscopyandenteroscopyatthesametimeafterbeinganaesthetised.InGroupB,thepatients(n=19)underwentgastroscopyandenteroscopysuccessivelyinthesameinspectionroomu

4、ndertheconditionofanaesthesia.InGroupC,gastroscopywasperformedonthepatients(n=25)inGastroscopicRoomundertheconditionofanaesthesia,andthenenteroscopywasperformedinEnteroscopicRoom.InGroupDactingasacontrolgroup,gastroscopywasperformedonthepatients(n=18)inGastroscopicRoomwithoutanaesthesia,andafterawh

5、ileenteroscopywasperformedinEnteroscopicRoom.Results(1)Thefeelingsatisfactoryrateofanyofthepainlessgroupswasupto100%,andthecounterpartofthecontrolgroupwasdownto55.6%.Theformerwassignificantlyhigherthanthelatter.(2)ItwasinGroupAthattheshortesttimeandtheleastdrugdosagewereused.InGroupC,thelargestdrug

6、dosagewasused,andinGroupDthelongestinspectiontimewasspent.Thereweresignificantdifferencesindrugdosageandinspectiontimeamongthegroups.(3)Increaseinbloodpresureorheartratewaslesscommoninthepainlessgroups,whilethedecreaseinbloodoxygensaturationwasmorecommon.ConclusionThe5simultaneousapplicationofpainl

7、essgastroscopyandenteroscopyisasafeandreliableinspectionapproach.　　Keywords：painlessgastroscopy;painlessenteroscopy;complication胃肠镜是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