针刺联合利多卡因复合麻醉防治胃镜检查中不良反应的疗效观察

Effects of acupuncture combined with Lidocaine anesthesia on preventing the adverse response in gastroscopy

[目的]观察针刺联合利多卡因复合麻醉防治胃镜检查中不良反应的效果。[方法]选择90例胃镜检查中患者随机分为观察组和对照组,每组45例。观察组采用针刺合谷、内关、足三里穴与口服盐酸利多卡因胶浆局部麻醉相结合;对照组单纯口服盐酸利多卡因胶浆麻醉。观察2组患者的检查反应、血压(BP)和心率(HR)变化、患者满意度和是否愿意再检查等指标,比较防治效果。[结果]观察组患者检查中不良反应比对照组明显减少(P<0.01),BP和HR较对照组稳定,患者满意度和是否愿意再检查以及防治效果方面均高于对照组(P<0.05,<0.01)。[结论]针刺联合利多卡因复合麻醉能有效防治胃镜检查中不良反应,其效果优于单纯药物局部麻醉。

[Objective]To observe the effect of acupuncture combined with Lidocain anesthesia on preventing the adverse response in gastroscopy. [Methods]Ninety cases of gastroscopy were randomly divided into an observation group and a control group,each group of 45 cases. The observation group were treated by acupuncture at Hegu, Neiguan, Zusanli,in combined with oral administration of lidocain Hydrochloride; the control group were treated by simple administration of Lidocain. The adverse responses, changes of blood pressure and heart rate, satisfactory degrees and the willing re-examination rate were investigated in the two groups. The effects of prevention were compared. [Results]In the observation group, the adverse responses in gastroscopy were significantly decreased as compared with those in the control group（P〈0. 05, P〈0. 01）, and the blood pressure and heart rate were more stable than that in the control group, and the satisfactory degree and the willing reexamination rate and the effect of prevention were higher than the control group（P〈0. 05,P〈0.01）. ]Conclusion]The acupuncture combined with Lidocain anesthesia can effectively prevent the adverse response in gastroscopy, which is better than that of simple medicine topical anesthesia.