全程护理干预在无痛胃镜检查中作用.docVIP

全程护理干预在无痛胃镜检查中作用【中图分类号】R573；R472.9+1【文献标识码】A【文章编号】1003-8183-（2011)09-0029-02 【摘要】目的：采用无痛胃镜检查，减轻患者在检查中的痛苦，保证检查质量与安全。方法：将400例胃镜检查分为两组，无痛胃镜检查组为观察组和普通电子胃镜组为对照组各200例，对胃镜术前准备、术中配合、术后观察、治疗与护理进行比较。结果：观察组易于接受，感觉舒适，配合成功率98%，恶心呕吐率6%，正确诊断率98%，血压在麻醉后术中下降（15～25/10～15）mmHg，而对照组难以接受，感觉痛苦，配合成功率79%，恶心呕吐率86%，正确诊断率95%，术中血压升高（19～28/10～14）mmHg，两组比较观察组明显优于对照组P＜0.01。结论：无痛胃镜术易接受，适应范围扩大，但麻醉药能引起患者一过性呼吸抑制，故要求无痛胃镜术中备好相关抢救设施 【关键词】食管、胃、十二指肠疾病；无痛；胃镜检查；配合；护理全程干预 Combination and Nursing of Painless Gastroscopy Xia Yiping， Wu Kuangming， He Yongfei 【Abstract】Objective： To relieve patients’ pains during examination by adopting painless gastroscopy， and thus to ensure the quality and safety of the examination. Methods ：A total of 400 cases receiving gastroscopy were divided into two groups： the painless gastroscopy group as observation group and the ordinary electronic gastroscope group as control group， each consisting of200 cases. The preoperative preparation， intraoperative combination， postoperative observation and treatment and nursing care were compared between two groups. Results： The observation group was apt to accept and comfortable in sensation， with a success rate for combination of 98%， for nausea and vomiting of 6% and for accurate diagnosis of 98%， and with a decrease in blood pressure by (15～25/10～15)mmHg. However， the control group became unacceptable and in anguish during examination， with a success rate for combination of 79%， for nausea and vomiting of 86%，for accurate diagnosis of 95%， and a (19～28/10～14)mmHg increase in blood pressure. The above indices in the observation group were superior to those in the control group， all P＜0.01. Conclusion ：Painless gastroscopy can tend to be acceptable with an extensive range of adaptation， but result in transient respiratory depression of the patients due to anesthetic usage， and therefore it is required that the corresponding rescue facility be provided during painless gastroscopy. 【Key words】 Esophageal or gastroduodenal d