不同麻醉方式取出上消化道异物的临床研究

发布时间：2018-05-31 04:50

本文选题：麻醉 + 胃镜　；参考：《重庆医学》2017年30期

【摘要】：目的探讨表面麻醉、静脉麻醉及经气管导管全身麻醉对上消化道异物取出的临床价值。方法回顾性分析该院内镜中心2009年1月至2014年12月吞入异物的268例患者在表面麻醉、静脉麻醉及经气管导管全身麻醉下经胃镜取出异物的临床资料。其中表面麻醉组106例,静脉麻醉127例,经气管导管全身麻醉组35例。比较3组手术成功率、血压、脉搏、血氧饱和度、视野清晰度、治疗完成时间及不良反应的差异。结果表面麻醉、静脉麻醉与经气管导管全身麻醉手术成功率差异无统计学意义(P0.05);表面麻醉组检查前与检查中收缩压(SBP)、舒张压(DBP)、心率(HR)不同程度增加,手术操作前与手术操作中比较差异有统计学意义(P0.05);静脉麻醉组手术操作中SBP、DBP、HR不同程度的下降,与手术操作前比较差异有统计学意义(P0.05),经气管导管全身麻醉组血压、HR、血氧饱和度无明显改变。静脉麻醉与经气管导管全身麻醉组的视野清晰度高于表面麻醉组(P0.05);静脉麻醉与经气管导管全身麻醉组的治疗完成时间、呕吐、呛咳反应、黏膜损伤率均低于表面麻醉组(P0.05)。结论静脉麻醉患者痛苦少,手术时间短,具有安全、快捷、舒适的优势。
[Abstract]:Objective to investigate the clinical value of surface anesthesia, intravenous anesthesia and transtracheal general anesthesia in the removal of upper gastrointestinal foreign bodies. Methods from January 2009 to December 2014, 268 patients with foreign bodies ingested in the endoscopic center of our hospital were treated with surface anesthesia, intravenous anesthesia and general anesthesia through trachea. There were 106 cases in surface anesthesia group, 127 cases in intravenous anesthesia group and 35 cases in general anesthesia group through trachea catheter. The differences of success rate, blood pressure, pulse, saturation of blood oxygen, visual field clarity, time of completion of treatment and adverse reactions were compared among the three groups. Results there was no significant difference in the success rate of surface anesthesia, intravenous anesthesia and transtracheal catheter general anesthesia (P 0.05). There was significant difference between before and after operation (P 0.05), and the decrease of SBP and DBP HR in intravenous anesthesia group was different from that before operation. There was significant difference between the two groups before and after operation (P 0.05). There was no significant change in blood pressure and oxygen saturation in the trantracheal general anesthesia group. The visual field clarity of intravenous anesthesia group and transtracheal catheter general anesthesia group was higher than that of surface anesthesia group (P 0.05), and the completion time, vomiting, cough reaction and mucosal injury rate of intravenous anesthesia group and transtracheal catheter general anesthesia group were lower than that of surface anesthesia group (P 0.05). Conclusion intravenous anesthesia patients have the advantages of less pain, shorter operation time, safety, rapidity and comfort.
【作者单位】：第三军医大学大坪医院消化内科;
【分类号】：R614

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