无痛胃肠镜治疗消化道疾病的临床应用效果

Clinical effect of painless gastrointestinal endoscopy in the treatment of digestive tract diseases

目的:探讨无痛胃肠镜治疗消化道疾病的临床应用效果。方法:将2017年4月-2018年4月在我院内镜室行胃肠镜治疗的90例消化道疾病患者随机分为两组,对照组采用常规胃肠镜治疗,观察组采用无痛胃肠镜治疗,比较两组患者的内镜检查效果、检查过程中心率、血压及血氧饱和度变化、不良反应发生率。结果:观察组胃肠镜检查优良率为97.78%,明显高于对照组的80%(P <0.05);观察组术前、术中、术后的心率、血压及SpO2无明显差异(P> 0.05),但观察组术中的心率、血压明显低于对照组(P <0.05);观察组咽喉反射、恶心、咳嗽、躁动、腹胀腹痛等不良反应发生率明显低于对照组(P <0.05)。结论:无痛胃肠镜治疗消化道疾病的临床应用效果显著,有效降低了检查过程中的痛苦,增强了检查效果,提高了患者的耐受性,安全性高,具有积极的临床意义。

Objective: To explore the clinical effect of painless gastrointestinal endoscopy in the treatment of digestive tract diseases. Methods: 90 patients with gastrointestinal diseases were randomly divided into two groups. The control group was treated with conventional gastrointestinal endoscopy and the observation group was treated with painless gastrointestinal endoscopy. Endoscopic examination results, examination center rate, changes in blood pressure and oxygen saturation, and incidence of adverse reactions were compared between the two groups. Results: The excellent and good rate of gastrointestinal endoscopy in the observation group was 97.78%,which was significantly higher than that in the control group(80%)(P < 0.05). Before operation, the intraoperative and postoperative heart rate, blood pressure and SpO2 of two group showed no significant difference(P > 0.05), but the intraoperative heart rate and blood pressure in the observation group were significantly lower than those in the control group(P < 0.05). The incidence of adverse reactions such as cough, restlessness, abdominal distension and abdominal pain in the observation group were significantly lower than those in the control group(P < 0.05). Conclusion: Painless gastrointestinal endoscopy in the treatment of gastrointestinal diseases had a significant clinical effect, it could effectively reduce the pain during the examination, enhance the examination effect, improve the patient’s tolerance, and it was of high safety, and had a positive clinical significance.