丙泊酚静脉麻醉下胃镜行尼龙绳结扎术治疗食管静脉曲张的效果及护理

Effect and nursing of propofol anesthesia gastroscope line nylon rope ligation treatment of esophageal varices

目的:探讨丙泊酚静脉麻醉下行尼龙绳结扎术治疗食管静脉曲张的效果及护理方法。方法;选取在丙泊酚静脉麻醉下胃镜下行结扎术53例为观察组,选取常规胃镜下行结扎术44例为对照组,记录两组患者治疗前、治疗中、治疗后不同时间的血压、心率和血氧饱和度,观察治疗中咳嗽、恶心、呕吐、体动情况,实施相应护理方法,并对观察结果进行比较。结果:两组患者检查前、中、后血压、心率指标比较有统计学差异(P<0.05);两组血氧饱和度比较无显著性差异(P>0.05)。观察组检查中呛咳、恶心、呕吐、体动与对照组比较有统计学差异(P<0.05)。结论:应用丙泊酚静脉麻醉下行尼龙绳结扎术治疗食管静脉曲张,可减少患者因不能耐受痛苦而导致的治疗中断和并发症,提高医护治疗操作的成功率,从而有助于疾病的治疗。

Objective： To investigate the propofol intravenous anesthesia the nylon rope ligafion treatment the esophageal varices. Methods： Selected in propofol anesthesia ligation 53 cases as the observation group, selected a conventional anesthesia ligatiou 44 eases as the control group, recorded before the treatment of the two groups of patients in treatment, different times after treatment, blood pressure, heart rate and oxygen saturation, observation and treat- ment, cough, nausea, vomiting, body movement, and the implementation of appropriate care and observations comparison. Results： The two groups of pa- tients checked before, during the check, and after checked, a significant difference between blood pressure,heart rate （ P 〈 0.05） ,there was no significant difference between the two groups of blood oxygen saturation （ P 〉0.05 ）. The observation group check in cough, nausea and vomiting, body movement, there was statistically significant difference compared with the control group（ P 〈 0.05）.