无痛胃肠镜与常规胃肠镜在消化道疾病诊治中的临床对比分析

Clinical Comparative Analysis of Painless Gastrointestinal Endoscopy and Conventional Gastrointestinal Endoscopy in the Diagnosis and Treatment of Digestive Tract Diseases

目的探究消化道疾病诊治中常规胃肠镜与无痛胃肠镜的应用价值。方法选取2018年1月—2019年5月在该院诊治的600例消化道疾病患者为研究对象,以胃镜检查方式为依据,分为两组,对照组行常规胃肠镜检查,观察组行无痛胃肠镜检查,对比两组胃镜检查效果、检查前后血压与心率变化情况、不良反应发生情况。结果观察组术中心率、收缩压、舒张压分别为(71.21±5.09)次/min、(126.92±6.33)mmHg、(64.13±5.02)mmHg,术后分别为(70.36±5.02)次/min、(126.42±6.85)mmHg、(63.72±5.13)mmHg,与对照组对比,差异有统计学意义(t=12.528、9.632、13.258、9.968、8.558、19.632,P<0.05);观察组优良率为95.00%,高于对照组(χ^2=72.525,P<0.05);观察组不良反应发生率为1.67%,低于对照组(χ^2=19.976,P<0.05)。结论无痛胃肠镜应用于消化道疾病诊治中的有效性高,不良反应少,患者适应性好。

Objective To explore the application value of conventional gastrointestinal endoscopy and painless gastrointestinal endoscopy in the diagnosis and treatment of digestive tract diseases. Methods A total of 600 patients with gastrointestinal diseases diagnosed and treated in the hospital from January 2018 to May 2019 were selected as the research objects. Based on the method of gastroscopy, they were divided into two groups. The control group underwent routine gastrointestinal endoscopy and the observation group underwent routine gastrointestinal endoscopy. Painless gastrointestinal endoscopy, comparing the effects of gastroscopy between the two groups, changes in blood pressure and heart rate before and after the examination, and occurrence of adverse reactions. Results The operative center rate,systolic blood pressure, and diastolic blood pressure of the observation group were(71.21±5.09) times/min,(126.92±6.33) mmHg,(64.13±5.02) mmHg, and postoperatively(70.36±5.02) times/min,(126.42±6.85) mmHg,(63.72±5.13) mmHg,compared with the control group, there were statistically significant differences(t=12.528, 9.632, 13.258, 9.968, 8.558,19.632, P<0.05);the excellent and good rate of the observation group was 95.00%, higher than the control group(χ^2=72.525, P <0.05);the incidence of adverse reactions in the observation group was 1.67%, which was lower than the control group(χ^2=19.976, P<0.05). Conclusion Painless gastrointestinal endoscopy is effective and safe and few adverse reactions in the diagnosis and treatment of gastrointestinal diseases, and it has good patient adaptability.