同时进行无痛胃镜和肠镜检查的临床价值.doc

同时进行无痛胃镜和肠镜检查的临床价值
: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%,%,无痛组满意度显著高于对照组;(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<);(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: Objective To explore the advantage of simultaneous application of painless gastroscopy and painless enteroscopy in the diagnosis and the treatment of upper digestive tract diseases. Methods The patients enrolled into the study . In Goup A, the patients (n=23) undere time after being anaesthetised. In Group B, the patients (n=19) undere inspection room under the condition of anaesthesia. In Group C, gastroscopy ed on the patients (n=25) in Gastroscopic Room under the condition of anaesthesia, and then enteroscopy ed in Enteroscopic Room. In Group D acting as a control group, gastroscopy ed on the patients (n=18) in Gastroscopic Room ed in Enteroscopic (1) The feeling satisfactory rate of any of the painless groups er e and the least drug dosage e e among the groups. (3) Increase in blood presure or heart rate on in the painless groups, ore mon. Conclusion The simultaneous application of painl