无痛胃镜在食道异物取出术中的应用效果观察

发布时间：2018-06-29 04:40

本文选题：无痛胃镜 + 食道异物　；参考：《世界最新医学信息文摘》2016年71期

【摘要】：目的:探析无痛胃镜在食道异物取出术中的临床应用效果。方法:选取我院2013年1月至2016年1月收治的食道异物患者58例,随机分为对照组和观察组各29例。对照组给予常规胃镜取出异物,而观察组则在无痛胃镜下进行食道异物取出术,对比两组患者治疗中生命体征情况及治疗后满意度、手术时间、成功率及不适情况。结果:采取不同措施治疗过程中,无痛胃镜下实施异物取出术的观察组,其SBP、Sp O2、R、DBP生命指征均显著好于常规胃镜下实施异物取出术的对照组,且发生膈肌痉挛、呛咳、恶心呕吐等不适情况的例数也显著低于对照组,组间比较差异显著,具有统计学意义(P0.05);此外,治疗后,观察组满意度、手术时间等情况均显著优于对照组,成功率为100%,与对照组比较差异显著,具有统计学意义(P0.05)。结论:对食道异物患者实施无痛胃镜下的食道异物取出术,可降低患者痛苦,维持患者平稳的生命体征,提高治疗操作的安全性和成功率,且术后患者满意度高,值得临床推广应用。
[Abstract]:Objective: to explore the clinical effect of painless gastroscopy in esophagus foreign body extraction. Methods: from January 2013 to January 2016, 58 patients with foreign body of esophagus were randomly divided into two groups: control group (n = 29) and observation group (n = 29). The control group was given routine gastroscopy to remove foreign body, while the observation group was performed esophagus foreign body removal under painless gastroscopy. The vital signs, satisfaction, operation time, success rate and discomfort were compared between the two groups. Results: in the observation group treated with painless gastroscopy, the life indications of SBPnSpO2O2RNDBP were significantly better than those of the control group under conventional gastroscopy, and the diaphragm spasm and cough occurred. The number of cases of nausea and vomiting was also significantly lower than that of the control group, the difference between the groups was significant (P0.05); in addition, after treatment, the observation group satisfaction, operation time and other conditions were significantly better than the control group. The success rate was 100, significantly different from the control group (P0.05). Conclusion: using painless gastroscopy to remove esophagus foreign body can reduce the pain of patients, maintain the patient's stable vital signs, improve the safety and success rate of the treatment, and the patients' satisfaction is high after operation. It is worth popularizing and applying in clinic.
【作者单位】：山东省临沂凯旋医院内一科;
【分类号】：R768.32

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