个体化表面麻醉程度测评在胃镜检查术前准备中的应用

Using the individual superficial anaesthesia evaluation during the course of gastroscopy preparation

目的探讨表面麻醉程度测评在胃镜检查前咽部麻醉应用中的有效性。方法将860例自愿接受胃镜检查的患者按不同年龄分为3组，3组表面麻醉程度测评均需达到过咽部会厌部。对3组患者麻醉次数、有效性及检查前、中、后不适程度进行比较分析。结果表面麻醉程度经测评后，全体患者显效性（无不适）高达95％，因麻醉药物所致的呛咳发生率随麻醉次数增多有所增加。老年患者呛咳表现明显。3组患者术后异物感不明显。对年龄≥65岁的老年患者，1个程序的麻醉即可达标；对≤65岁的人群则需2—3个程序的麻醉可基本达标。结论表面麻醉程度测评的应用能确保表面麻醉成功，有效地消除接受胃镜检查患者的不适症状应针对不同年龄组的患者采用量化的麻醉方案，正确的防治措施是保证检查安全的关键。

Objective To study the effects of using individual superficial anaesthesia evaluation during the course of gastrosoeopy preparation. Methodls Divided 860 patients with gastrosoepy into three groups according to their age, and then using the individual superficial anaesthesia evaluation during the course of gastroscopy preparation. Compare the anaesthesia times, anaesthesia effects and comfortable degrees among the three groups. Results The comfort radio about anaesthesia among all the patients was 95%, the incidence rate of cough induced by anesthesia was increased according to the anaesthesia times. Elder patients were sensitivity for anaesthesia and put up severe cough. One process superficial anaesthesia was effective for patients ≥ 65 years old. Conclusion Individual superficial anaesthesia can effectively avoid the discomfort for patients with gastroscopy, different anaesthesia projects should be used for differeht patients.