无痛消化内镜诊疗中的并发症分析

Analysis of Complications of Painless Gastrointestinal Endoscopy in the Diagnosis and Treatment

目的探讨镇静、麻醉下消化内镜诊疗操作中的安全性。方法随机选择2013年1月至2014年9月在江西省人民医院行消化内镜诊疗的患者1 003例,均给予异丙酚镇静麻醉,观察患者并发症发生情况,如呼吸、心率、血压、血氧饱和度等指标变化。结果 5.98%(60/1 003)的患者心率<50次/min;4.49%(45/1 003)的患者血压<80/50mm Hg;6.98%(70/1 003)的患者血氧饱和度<85%;0.60%(6/1 003)的患者出现喉头痉挛。出现病情变化时均及时给予对症处理,未见出血、穿孔、麻醉意外等并发症,所有患者均在镇静麻醉下完成消化内镜诊疗操作。结论镇静、麻醉下消化内镜诊疗操作具有较高的安全性。

Objective To explore the safety of digestive endoscopy operation under sedation and anesthesia.Methods 1003 patients under digestive endoscopic diagnosis and treatment were randomly selected from January2013 to September 2014.All the patients were given Propofol to calm according to the evaluation.Changes of respiration,heart rate,blood pressure,oxygen saturation and other indicators were observed.Results Heart rate changes of 5.98%（60/1003）in patients were under 50/min;Blood pressure of 4.49%（45/1003）in patients were under 80/50 mmHg;Blood oxygen saturation changes of 6.98%（70/1003）in patients were less than 85%;0.60%（6/1003）patients had laryngeal spasm.Timely symptomatic treatment was given when changes appeared.No hemorrhage,perforation,and other complications of anesthesia accident happened.All patients in sedative anesthesia completed the operation of gastrointestinal endoscopy.Conclusion Digestive endoscopy operation under sedation and anesthesia has higher safety.It is worthy of clinical application.