同时进行无痛胃镜及肠镜检查临床价值.docVIP

同时进行无痛胃镜及肠镜检查临床价值 　 作者：戴益琛，谢军培，曾伟，蔡铁良，蔡英慰，陈文柳，申爱华，涂金芳 【摘要】 　　目的 探讨同时进行无痛胃镜、无痛肠镜检查对上消化道疾病诊断与治疗的优越性。方法 随机把病人分为无痛组和对照组，无痛组又分为A组（23例）麻醉后由两位医生同时进行胃镜肠镜检查；B组（19例）在同一诊室麻醉后先进行胃镜检查再进行肠镜检查。C组（25例）麻醉后先进行胃镜检查，再送到肠镜室进行肠镜检查（无痛组）。对照组（18例）无麻醉下先进行胃镜检查，略休息后再到肠镜室进行肠镜检查。分析比较各组检查的情况。结果 (1)无痛各组患者感觉满意均达100％，对照组满意55．6％，无痛组满意度显著高于对照组；(2)各组操作时间及用药量：A组时间最短，用药最少，C组用药最多，对照组检查时间最长，各组用药量及检查时间差异有统计学意义（Plt;0.05）；(3)无痛各组患者血压升高、心率增快均较对照组显著减少，但出现血氧饱和度下降较对照组多。结论 同时进行无痛胃镜、肠镜检查是安全可行的诊治手段。 【关键词】 无痛胃镜；无痛结肠镜；并发症 　　Abstract： Objective To explore the advantage of simultaneous application of painless gastroscopy and painless enteroscopy in the diagnosis and the treatment of upper digestive tract diseases. Methods The patients enrolled into the study were divided into four groups at random. In Goup A, the patients (n=23) underwent gastroscopy and enteroscopy at the same time after being anaesthetised. In Group B, the patients (n=19) underwent gastroscopy and enteroscopy successively in the same inspection room under the condition of anaesthesia. In Group C, gastroscopy was performed on the patients (n=25) in Gastroscopic Room under the condition of anaesthesia, and then enteroscopy was performed in Enteroscopic Room. In Group D acting as a control group, gastroscopy was performed on the patients (n=18) in Gastroscopic Room without anaesthesia, and after a while enteroscopy was performed in Enteroscopic Room.Results (1) The feeling satisfactory rate of any of the painless groups was up to 100%, and the counterpart of the control group was down to 55.6%. The former was significantly higher than the latter. (2) It was in Group A that the shortest time and the least drug dosage were used. In Group C, the largest drug dosage was used, and in Group D the longest inspection time was spent. There were significant differences in drug dosage and inspection time among the groups. (3) Increase in blood presure or heart rate was less common in the painless groups, while the decrease in blood oxygen saturation was more commo