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目的分析探讨消化内科无痛胃肠镜的临床应用效果。方法对3600例消化道内科患者的临床资料进行统计分析,随机将其分为对照组和实验组,每组1800例。对照组用医院常规胃肠镜进行治疗,实验组在对照组基础上静脉推注复合麻醉剂(无痛胃肠镜检查)。比较两组的临床疗效。结果实验组放弃检查患者的例数少于对照组,不良反应的发生率明显低于对照组,差异有统计学意义(P<0.05)。检查前后,两组患者心率、舒张压、收缩压差异有统计学意义(P<0.05),血氧饱和度差异无统计学意义(P>0.05)。结论消化内科的临床工作中,无痛胃肠镜痛苦更小、依从性更好,在肠胃镜检查中可以作为首选。
Objective To analyze the clinical effect of painless gastrointestinal endoscopy in gastroenterology. Methods The clinical data of 3600 cases of gastroenterology patients were statistically analyzed and randomly divided into control group and experimental group, with 1800 cases in each group. The control group was treated with routine gastrointestinal endoscopy in the hospital. The experimental group was injected iv with compound anesthetic (painless gastrointestinal endoscopy) on the basis of the control group. The clinical efficacy of the two groups was compared. Results The number of patients who gave up examination in the experimental group was less than that in the control group, and the incidence of adverse reactions was significantly lower than that in the control group (P <0.05). Heart rate, diastolic blood pressure and systolic blood pressure were significantly different between the two groups before and after the examination (P <0.05). There was no significant difference in oxygen saturation between the two groups (P> 0.05). Conclusions In the clinical work of digestive medicine, painless gastrointestinal endoscopy is less painful and better compliant, and may be the first choice in gastroenteroscopy.