无痛胃镜检查1100例报道

REPORT OF PAINLESS GASTROSCOPY IN 1100 PATIENT

目的 :胃镜检查过程中辅以良好的止痛及镇静 ,以减少病人痛苦 ,提高检查成功率。方法 :将 135 0例患者随机分为观察与对照组 ,对检查过程中血压、心率、血氧饱和度及操作时间、检查成功率、检查反应进行观察分析。结果 :观察组检查成功率比对照组高 ,检查不良反应比对照组低 ,而血氧饱和度、操作时间两组间相比无明显区别 ,心率、血压 (收缩压和舒张压 )与对照组比较均有所下降。结论 :辅以异丙酚及咪唑安定静脉注射进行胃镜检查是安全有效的 ,为无痛苦胃镜检查。

Objective:The study was attempted to improve the manipulation and eliminate patient's fear for gastroscopy combined with intravenous injection.Methods:A total of 1350 patients wasrandomized into test group (n=1100 given intraveous protofol and midazolam)and the control (n=250,without anesthetics).Patient's feeling,heart rate,blood oxygen saturation,blood pressure,operative duration and operator' satisfaction were recored and analysed.Results:Data in test group showed less complaints,easier manipulation,high satisfaction and no difference in operative duration and blood oxygen saturation as compared with the control.After intravenous administration of protofol and midazolam,patient's heart rate and blood pressure (systolic and diastolic pressure) significantly decreased.Conclusions:With intravenous use of protofol and midazolam,gastroscopy can be achieved effectively,painlessly and safely.