胃镜临床应用.docVIP

笑气吸入镇痛系统应用于胃镜检查的临床效果观察 2013-10-25 14:37:45??????点击：622 目的 ????观察笑气吸入镇痛系统应用于胃镜检查的临床效果。方法笑气吸入下胃镜检查者103?例?(笑气组)，常规胃镜检查11O例?(对照组)，观?察患者胃镜操作时?间，检查前、?中、后血压?，心率?，血氧饱和度和胃镜检查中的反应及感受。结果笑气组患者咽部不适?、恶心、呕吐和躁动的发生率低于对照组?，差异均有统?计学意义?(P 0．05 )。?笑气组胃镜操作时间短于对照组?(P 0．05 )。笑气组检?查前?、中、后收缩压?、舒?张压及?心率低于对照组，除检查前收缩压外，差异均有统计学意义?(P 0．05 )?；两组检查前、中、后脉搏血氧饱和度比较，差异均无统计学意义?(P 0．05)。笑气组患者难以忍受、明显不适及轻微不适的例数均少于对照组，而无不适的例数明显多于对照组，差异有统计学意义?(P 0．05 )。结论笑气吸入应用于胃镜检查减少了患者的痛苦，增加?了患者的依从性，并且操作简单，缩短了操作时间，减轻了胃镜检查对患者的刺激?，值得临床推广。 【关键词】 笑气；胃镜检查；消化系统疾病 【中图分类号】R 443．7 【文献标识码】B 【文章编号】1007 —9572 (2012) 06 —2014 —02 E f ects of N itrous o xjde Inhalation in G astroscopy SU Lian ru ing?，AI Jiang?，K O N G X iang —hong．D epartment of Castroenterology?，Affi liated H ongqi H ospital of M udanjiang M edical U niversity?，M udanjiang 15700 1，China 【A bstracts】 0 bjectives To observe the clinical efect of nitrous oxide (NO ) inhalation used in gastroseopy．M ethods Tim e length of gastroscopy operation and blood pressure，heart rate (H R )?，blood oxygen saturation were observ ed in 103 subjects receiving N O inhalation (N OI group ) and 1 10 subjects receiving conventional gastroscopy (control group ) before，duri ng，after gas~ oscop y?，?and reaction an d feeling duri ng gastroscopy?．?R esu ltsP haryngeal d iscom fort?，?nau sea?，?vom iting and restless-ness incidence were low er in NO I gr oup than in control gr oup?，the diference was significant except restlessness incidence (P 0．05 )．The operational tim e length of N O I gr oup was shorter than that of control group (P 0．05 )．Systolic pressure (SP )，diastolic pressure and H R before，during，after gastroscopy of N O I gr oup w ere low er than that of control except SP before it (P 0．05 )．B ut there was not significant difference in blood oxygen saturation (尸 0．05 )．The case num ber w ith unbearable and slight discom fort s w as few er in N O I group th an in control gr ou p?，an d cases w ith out d iscomfort m ore?，the difference w as sign ificant(P 0．05 )．C onclusion N O inhala