特殊人群上消化道异物的无痛胃镜治疗

Painless gastroscopic removal of upper gasrointestinal tract foreign bodies in the special populations

目的观察异丙酚联合芬太尼无痛胃镜下治疗特殊人群上消化道异物的安全性和有效性。方法对45例特殊人群上消化道异物患者行异丙酚联合芬太尼静脉全身麻醉下胃镜取出术,记录治疗前、治疗中及治疗后的BP、HR、R、SaO2及患者的反应,记录操作时间。结果45例患者均顺利接受胃镜下治疗,麻醉效果满意。治疗前、治疗中及治疗后BP、HR、R及SaO2差异均无显著性(P>0.05)。44例(44/45)上消化道异物顺利取出,胃镜治疗时间为(13.8±7.2)min。结论对特殊人群的上消化道异物,无痛胃镜下的治疗成功率高,安全性好,值得临床推广应用。

[Objective] To examine the efficacy and safety of painless gastroscopic removal of upper gasrointestinal tract foreign bodies in the special populations. [Methods] 45 special patients suffered from upper gasrointestinal tract foreign bodies accepted painless gastroscopic therapy in propofol and fentanyl intravenous aneasthesia. BP, HR, R and SaO2 were monitored and recorded before, during and after gastroscopic therapy.The total therapy time and the side effects was noted. [Results] Foreign bodies of 44 patients （44/45） were removed. There were not different on BP, HR, R and SaO2 before, during and after gastroscopic therapy. The total therapy time was （13.8±7.2） minutes. [Conclusion] Painless gastroscopic removal of upper gasrointestinal tract foreign bodies in the special populations is effective and safe and should be approached extensively.