儿童无痛胃镜检查临床分析.docVIP

儿童无痛胃镜检查临床分析 　　【摘要】 目的 研究儿童慢性腹痛无痛胃镜检查的价值及安全性。方法 134例以腹痛为主诉的门诊及住院患儿作为研究对象， 均进行无痛胃镜检查， 观察检查结果。结果 本组134例患者胃镜病变检出异常129例， 阳性率96.3%， 分别为慢性浅表性胃炎及十二指肠炎87例（67.4%）、上消化道溃疡14 例（10.9%）、其他病变28例（21.7%）， 本组患儿术中合并咽后壁黏膜擦伤2例， 无一例并发黏膜下血肿、穿孔和出血等严重胃镜操作并发症发生， 亦无一例出现低氧血症、窒息、吸入性肺炎、心律不齐等麻醉并发症发生。所有患儿均未感到有插管不适， 且在胃镜检查结束后均无痛苦记忆。患儿在麻醉后恢复过程中呼吸循环稳定， 呼吸、心率、血压、血氧饱和度恢复到检查前水平， 原消化道症状没有加重。结论 在严格掌握无痛胃镜检查适应证的情况下， 无痛胃镜检查在小儿慢性腹痛的诊断中具有较大的价值， 在儿童慢性腹痛中的应用是安全、有效的， 适宜在儿科领域中推广普及使用。 　　【关键词】 无痛胃镜； 慢性腹痛； 儿童 　　DOI：10.14163/j.cnki.11-5547/r.2017.02.023 　　Clinical analysis of children painless gastroscopy LI Li-qiong， QIAN Hui-ping， LIU Xin-yan. Kaiyuan City People’s Hospital， Kaiyuan 661699， China 　　【Abstract】 Objective To research value and safety of painless gastroscopy in children chronic abdominal pain. Methods A total of 134 outpatient and hospitalized children with abdominal pain as study subject received painless gastroscopy， and their detection outcomes were observed. Results Among 134 patients， there were 129 abnormal cases detected by gastroscopy， with positive rate as 96.3%， including 87 cases with chronic superficial gastritis and duodenitis （67.4%）， 14 cases with upper peptic ulcer （10.9%） and 28 cases with other lesions （21.7%）. There were 2 cases with intraoperative complicated posterior pharyngeal wall mucosal scratch， none with severe gastroscopy complications of submucosal hematoma， perforation or hemorrhage， and none with anesthesia complications of hyoxemia， asphyxia， aspiration pneumonia and arrhythmia. All children had no intubation discomfort or bad memories after gastroscopy. They all had stable respiration cycle after anesthesia and recovered breath， heart rate， blood pressure and oxyhemoglobin saturation， along with no exacerbation in primary digestive tract symptoms. Conclusion On the condition of strict control in painless gastroscopy indications， painless gastroscopy can provide remarkable value in diagnosis of children chronic abdominal pain. This method is safe and effect in child