无痛胃肠镜检查术的临床应用

The analysis of clinical application of sedated gastrocolonoscopy

目的探讨无痛胃肠镜检查术在临床疾病诊治中的应用价值。方法148例行胃肠镜诊治的患者，随机分成治疗组74例，对照组74例；进行胃肠镜诊治前，治疗组给予健忘镇痛麻醉处理，对照组无特殊处理。结果治疗组行无痛胃肠镜诊治时痛苦少，依从性高，不良反应少，所有患者均顺利完成诊治。对照组均不同程度地出现疼痛、恶心呕吐、躁动、咳嗽、咽喉部不适等不良反应，9例患者因此中途终止操作，且术中收缩压、舒张压、心率及呼吸频率均较术前、术后出现较大幅度波动（F=16．125、9．345、12．345、13．384，均P〈0．05）。结论无痛胃肠镜较常规胃肠镜诊治不良反应少，安全性高，疗效确切，更易为患者接受，临床应进一步推广应用。

Objective To evaluate the value of clinical application of sedated gastrocolonoscopy, to release distress of patients ,improve curative effect. Methods To select 148 patients with gastrointestinal diseases who received gastrocolonoscopy, 148 patients were divided into two groups randomly ,therapy group 74 patients, control group 74 patients. Results The patients of therapy group had less distress, higher compliance, no adverse reaction. All of patients completed diagnosis successfully. But the patients of control group appeared adverse reactions, including vomiting, restlessness equal. Furthermore 9 patients end manipulate because of this. Conclusion Sedated gastrocolonoscopy versus conventional gastrocolonoscopy had less adverse reactions, higher security, and it should be spread in clinical application.