无痛消化内镜检查术后30min进食的可行性研究

Study on feasibility of eating 30 mins later after painless gastroscopy

目的探讨无痛消化内镜检查术后30min进食的可行性。方法选择2013年6～12月在消化内科住院行无痛消化内镜检查的患者600例,单月检查的患者列入实验组（n=300）,双月检查的患者列入对照组（n=300）。实验组给予术后30min进食,对照组给予术后2h进食。比较两组患者进食前焦虑、口渴及饥饿程度;进食前低血糖反应和低血容量发生率;检查前后大便隐血试验;进食后呛咳、误吸、腹痛、恶心、呕吐等不良反应发生率。结果实验组进食前焦虑、口渴、饥饿程度明显轻于对照组（P=0.0000）;实验组进食前低血糖反应低于对照组（P=0.0439）;两组检查前后大便隐血试验结果比较差异无统计学意义（P值分别为0.3191、0.5210）;两组患者进食后呛咳、误吸、腹痛、恶心、呕吐等不良反应发生率比较差异无统计学意义（P=0.4537）。结论无痛消化内镜检查术后30min进食,可增加患者的舒适感,减轻焦虑、口渴、饥饿程度,降低低血糖反应发生率,且不增加因进食引起的不良反应和消化道出血症状,是安全、可行的,值得推广应用。

Objective To study the feasibility of eating 30 min later after painless gastroscopy.Methods 600 patients undergoing painless gastroscopy in the Department of Gastroenterology from June, 2013 to Dec, 2013, were divided into experimental group（examined in odd months） and control group （examined in even months） with 300 cases in each group. The experimental group took food 30 rain later after painless digestive gastroscopy, while the control group took food 2h later after the operation.The degree of anxiety,thirsty and hungry before meal as well as the incidence of hypoglycemia and low blood volume of two groups were compared. The fecal occult blood testing before and after the operation was compared.And the incidence of adverse reactions such as bucking, aspiration, abdominal pain, nausea and vomiting after taking food were evaluated.Results The experimental group had obviously lower degree of thirst,hunger and anxiety before eating than the control group（ P =0.0000）as well as lower incidence of hypoglycemia and low blood volume before eating（ P =0.0439）.No significant difference was found in fecal occult blood testing results before and after the operation of two groups（ P = 0.3191,0.5210 respectively）.There was neither significant statistical difference in incidence of adverse reactions after eating such as cough, aspiration, abdominal pain, nausea and vomiting comparison between two groups（ P =0.4537）.Conclusion Taking food 30 rain later after painless gastroscopy can make patients more comfortable and help alleviate the symptoms of anxiety, thirst,and hunger.It will also re- duce the incidence of hypoglycemia and low blood volume without aggravating the adverse reactions and alimentary canal bleeding caused by eating.Thus, it is safe, feasible and worthy of popularization and application.