无痛胃镜的临床应用分析刘超.docVIP

无痛胃镜的临床应用分析刘超 刘超 (西藏驻成都办事处医院消化内科 四川 成都610041) 目的研究观察对消化内科患者采用无痛胃镜诊治的临床应用价值。 方法:选取2010年1月至2013年12月期间在我院消化内科收治的68例采用无 痛胃镜治疗的患者作为研究对象，将其随机分为试验组与对照组,每组各34例。 给予对照组患者进行胃肠道检查治疗，试验组患者先予以麻醉镇痛，再对采用无 痛胃镜进行治疗。结果治疗组患者中总有效率为97.06%,对照组患者中总有 效率为58.06%,两组比较，有统计学意义(P0.05)o治疗组患者中发生疼痛1 例的不良反应，对照组患者中发牛疼痛7例，两组比较，差异均有统计学意义(P 均0.05)o结论采用无痛胃镜诊治消化内科患者有较好的临床疗效，安全性 高，值得在临床工作中予以推广及应用。 【关键词】消化内科；无痛胃镜；临床应用 R44 A 2095-1752 (2015) 19-0081-02 The Clin ical Applicati on of Pain less Gastroscopy Liu Chao Tibets Hospital in Chengdu Office , Gastroenterolog, Chengdu 610041, China [Abstract[Objective To study the observation of Gastroenterology patients with pain less gastroscopy diagnosis and treatment of clin ical value. Methods April 2009 to October 2013, 68 cases the Gastroenterology admitted in our hospital painless gastroscopy treatment of patients as research subjects, and they were randomly divided into experimental group and control group, n二34 cases. Given to the control group patie nts for exami nation and treatme nt of the gastroi ntestinal tract, the experime ntal group patie nts to be n arcotic an algesic treatme nt for pain less gastroscopy. Results In patients treated with total effective rate of 97.06% in the control group of patients total effective rate was 55.88%, the two groups was statistically sign讦icant (P lt;0.05). Pain in 1 cases of adverse reactions in patients treated with pain in 7 cases in the control group patients, the two groups, the d iff ere nces were statistically sign ifica nt (Plt;0.05). Conclusion The diagnosis and treatme nt of pain less gastroscopy Gastroenterology patie nts with better clin ical efficacy, safety, worth to be promoted and applied in clinical work. 【Key words］ Gastroenterology; Painless gastroscopy; Clinical application 无痛胃镜技术具有高准确性的特点，在我国消化内科的临床治疗有着普遍的 应用，在进行消化内科诊断方面也是一种主要的方法［1?3］。般的胃镜检查是 一种入侵式的操作方法，在操作的过程中会给患者带来一定的不舒适感，会给患 者造成紧张恐惧的心理，在治疗上会产生一定的困难，甚至有的部分患者会拒绝 接受检查，使一些病症无法及吋被发现，耽误了治疗的吋机，提高了漏诊率和误 诊率［4?5］。随着我国人们生活水平的提高，人们对无痛内镜检查技术的接受度 也越来越高，麻醉药的短效药剂出