摘要
目的探讨同时进行无痛胃镜、无痛肠镜检查对上消化道疾病诊断与治疗的优越性。方法随机把病人分为无痛组和对照组，无痛组又分为A组（23例）麻醉后由两位医生同时进行胃镜肠镜检查；B组（19例）在同一诊室麻醉后先进行胃镜检查再进行肠镜检查。C组（25例）麻醉后先进行胃镜检查，再送到肠镜室进行肠镜检查（无痛组）。对照组（18例）无麻醉下先进行胃镜检查，略休息后再到肠镜室进行肠镜检查。分析比较各组检查的情况。结果（1）无痛各组患者感觉满意均达100％，对照组满意55．6％，无痛组满意度显着高于对照组；（2）各组操作时间及用药量：A组时间最短，用药最少，C组用药最多，对照组检查时间最长，各组用药量及检查时间差异有统计学意义（P〈0．05）；（3）无痛各组患者血压升高、心率增快均较对照组显着减少，但出现血氧饱和度下降较对照组多。结论同时进行无痛胃镜、肠镜检查是安全可行的诊治手段。
objective to explore the simultaneously painless gastroscope, painless endoscopic check upper gastrointestinal tract disease to the superiority of the diagnosis and treatment. Methods the random the patients into painless group and control group, painless group and divided into A group （23 cases） after anesthesia by two doctor simultaneously gastroscope endoscopic check; Group B （19 cases） in the same office first after anesthesia for gastroscope inspection endoscopic check again. Group C （25 cases） after anesthesia to gastro- scope inspection, and then sent to the colonoscopy endoscopic check （painless group）. The control group （18 cases） no anesthesia to gastroscope inspection, slightly after the break to colonoscopy room for endoscopic check. Analysis of the check. The results （1） the patients feel satisfied with painless reached 100%, 55.6% satisfied with the control group, painless group significantly higher than those in the control group satisfaction; （2） the operation time and exposure leels： group A shortest time, use at least, most drugs group C, the control group check the longest, each time there and check is statistically significant difference （P 〈 0.05）; （3） painless patients with elevated blood pressure, and heart rate each added fast than that of the control group significantly less, but appears the oxygen desaturation to more than the control group. Conclusion simultaneously painless gastroscope, endoscopic check is safe and feasible method of diagnosis and treatment.
