无痛肠镜息肉切除在临床中应用探究.docVIP

无痛肠镜息肉切除在临床中应用探究【摘要】目的 探讨无痛肠镜息肉切除在临床中的应用价值并评价其安全性。方法 选择我院86例患者,分为无痛肠镜息肉切除及普通肠镜息肉切除组,每组43例,比较检查前、检查中血压、血氧饱和度及心率变化,检查中反应及检查后感受。结果 无痛肠镜息肉切除不良反应明显少于普通肠镜息肉切除组,满意度明显高于肠镜息肉切除组。检查前、检查中血氧饱和度变化,无痛肠镜息肉切除差异有显著性(P〈0.05),普通肠镜息肉切除组差异无显著性(P〉0.05)。无痛肠镜息肉切除检查中血压、心率下降,与检查前比较差异有显著性(P〈0.05)。普通肠镜息肉切除组检查中血压、心率明显增加,与检查前比较差异有非常显著意义(P〈0.01)。结论 在有完善的应急抢救措施及严密监护的情况下。患者进行无痛肠镜息肉切除是可行的、安全的 【关键词】肠镜检查 息肉切除 丙泊酚 【中图分类号】R726.5 【文献标识码】A 【文章编号】1004-7484(2010)09-00-02 【Objective】to pick in clinical diagnosis painless polyps resection application value and evaluate its safety. Methods: select our 86 patients, painless colonoscopy polyps resection and ordinary colonoscopy polyps excision groups, and 43 cases, before the examination, check pressure and heart rate, blood oxygen saturation, check and inspection of feeling. Results: adverse reactions painless colonoscopy polyps resection obviously less than normal bowel resection of polyps, satisfaction with significantly higher than colonoscopy polyps. Check and inspection before oxygen saturation, painless colonoscopy polyps excision greup (P 0.05). In the endoscopic check painless polyps excision rate, blood pressure, compared with before down there was significant difference (P 0.05),无痛结肠镜切除组均有SpO2一过性下降,有4例9%(4/43)出现SpO2低于80%,经仰额举颌,保持气道通畅,加大氧流量后25S内均恢复正常,检查前、检查中SpO2差异有显著性(P 1