无痛胃肠镜与常规胃肠镜在消化道疾病中的临床应用价值比较

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摘要目的比较无痛胃肠镜与常规胃肠镜在消化道疾病中临床应用价值。方法选取唐山市协和医院消化内科于2016年7月～2018年3月收治的410例消化道疾病患者，根据随机数字表法分为观察组及对照组，每组各205例。观察组行无痛胃肠镜检查，对照组采用常规胃肠镜检查，观察两组心率、血压及血氧饱和度（SpO2）变化情况，比较两组检查效果及并发症发生率。结果观察组患者的心率、血压和SpO2在不同时间点比较，差异无统计学意义（P ＞ 0.05）。对照组患者的心率、血压和SpO2在不同时间点比较，差异有统计学意义（P ＜ 0.05）。术中观察组患者心率、血压和SpO2均低于同期对照组，差异有统计学意义（P ＜ 0.05）。观察组并发症总发生率显著低于对照组，差异有高度统计学意义（P ＜ 0.01）。观察组的检查效果优良率显著高于对照组，差异有高度统计学意义（P ＜ 0.01）。结论无痛胃肠镜对于消化道疾病患者具有较好的检查效果、较高的优良率和耐受性。

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	孙丽丽张健何桦

关键词 ：无痛胃肠镜, 常规胃肠镜, 消化道疾病, 临床应用价值

Abstract：Objective To compare the clinical application value of painless gastroenteroscopy and routine gastroenteroscopy in digestive tract diseases. Methods From July 2016 to March 2018, 410 patients with digestive tract diseases were divided into observation group and control group by random number table method, with 205 cases in each group. The painless gastroenteroscopy was performed in the observation group and the routine gastroenteroscopy was performed in the control group. The changes of heart rate, blood pressure and oxyhemoglobin saturation (SPO2) before at different time point in the two groups. The efficacy and complication rate of the two groups were compared. Results Heart rate, blood pressure and SpO2 in the observation group were compared at different times, and the differences were not statistically significant (P ＞ 0.05). Heart rate, blood pressure and SpO2 of patients in the control group were compared at different time points, and the differences were statistically significant (P ＜ 0.05). Heart rate, blood pressure and SpO2 in the observation group during operation were all lower than those in the control group at the same time point, and the difference was statistically significant (P ＜ 0.05). The incidence of total complications in the observation group was significantly lower than that in the control group (P ＜ 0.05). The excellent and good rate in the observation group was significantly higher than that in the control group (P ＜ 0.05). Conclusion Painless gastroenteroscopy for patients with digestive tract disease has a good examination effect, higher excellent and good rate and better tolerance.

Key words： Painless gastroenteroscopy Routine gastroenteroscopy Gastrointestinal diseases Clinical application value

基金资助:河北省医学科学研究重点课题（20181315）。

作者简介: 孙丽丽（1984.10-），女，硕士；研究方向：胃肠道疾病。

引用本文:

孙丽丽张健何桦. 无痛胃肠镜与常规胃肠镜在消化道疾病中的临床应用价值比较[J]. 中国医药导报, 2019, 16(10): 100-102.
SUN Lili ZHANG Jian HE Hua. Comparison of clinical application value between painless gastroenteroscopy and routine gastroenteroscopy in digestive tract diseases. 中国医药导报, 2019, 16(10): 100-102.

链接本文:

http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2019/V16/I10/100

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