静脉麻醉胃镜与普通胃镜治疗小儿上消化道异物的效果比较研究

Effects Comparative Study of Intravenous Anesthesia Gastroscope and Common Gastroscope for the Treatment of Pediatric Upper Gastrointestinal Tract Foreign Bodies

目的：探讨静脉麻醉胃镜及普通胃镜在小儿上消化道异物取出中的应用效果及安全性,以期能为小儿上消化道异物取出方法的选择提供一定的参考。方法：选取35例上消化道异物患儿为研究对象,按照入院顺序编号其中单号共18例为观察组,双号共17例为对照组,对照组患儿采用普通胃镜取出异物,观察组静脉注射丙泊酚（2-3）mg/kg、芬太尼（0.5-1）mg/kg进行静脉复合麻醉下胃镜取出异物,观察两组手术前后及术中心率（HR）、平均动脉压（MAP）、血氧饱和度（SPO2）变化及异物取出所需时间、取出成功率、不良反应。结果：两组患儿治疗前HR、MAP、SPO2无统计学差异（P〉0.05）,对照组治疗中HR、MAP有所升高,观察组有所下降,观察组与对照组组间比较、与治疗前组内比较差异均具有统计学意义（P〈0.05）,术毕时恢复正常（P〉0.05）,SPO2治疗全程均变化不大；对照组异物取出时间为（13.28＆#177;7.89）min,观察组为（7.75＆#177;4.92）min,对照组取出成功率76.47%、不良反应发生率52.94%,观察组取出成功率为为100.00%,不良反应发生率16.67%,两组异物取出时间、取出成功率、不良反应发生率比较差异具有统计学意义（P〈0.05）。结论：静脉麻醉胃镜治疗依从性更好,取出成功率明显增高,不良反应发生率较低,对患儿血流动力学无明显影响,疗效更优。

Objective：To investigate the intravenous anesthesia gastroscope and common gastroscope application in pediatric upper gastrointestinal tract foreign bodies, efficacy, and safety, in order to help children with upper gastrointestinal tract foreign bodies provide certain reference for the selection of methods.Methods：35 cases of upper gastrointestinal tract foreign bodies were selected as the research object, according to admission order number number, a total of 18 cases of observation group, double number, a total of 17 cases of control group, control group patients using common gastroscope to take out the foreign body, intravenous propofol observation group （2-3） mg/kg, fentanyl （0.5-1） mg/kg of the compound vein anesthesia gastroscope to take out the foreign body, observe two groups before and after surgery and heart rate （HR）, mean arterial pressure （MAP）, blood oxygen saturation （SPO2） change and the time needed for foreign bodies, remove the success rate, adverse reactions.Results：The two groups before treatment in children with HR, MAP, SPO2 no statistical difference （P〉0.05）, the control group treatment in HR, MAP was increased, the observation group, observation group compared with the contrast between the way and the comparative differences are statistically significant in the group before treatment （P〈0.05）, and never put off till tomorrow what you can back to normal （P〉0.05）, SPO2 treatment throughout all changed little;For control foreign bodies（13.28＆#177;7.89）min, observation group is（7.75＆#177;4.92）min, the control group to take out the success rate of 76.47%the incidence of adverse reactions 52.94%, the observation group to take out the success rate was 100.00%, the incidence of adverse reactions was 16.67%, two groups of foreign bodies out time, success rate, incidence of adverse reactions to compare differences statistically significant （P〈0.05）. Conclusion：intravenous anesthesia gastroscope treatment adherence is better, significantly higher success rate and a lower incidence of adverse reactions, had no significant effect on hemodynamics, curative effect is better.