自制无痛肠镜检查体位固定装置临床运用研究

Clinical Application of Self-made Postural Fixation Device for Painless Enteroscopy

目的 探讨自制无痛肠镜检查体位固定装置的临床运用的安全性和有效性。肠镜检查体位固定装置固定于人体膝关节处,将所述固定主体朝对应人体双腿弯曲贴合腹部时膝盖的方向进行牵引的牵引机构。方法 将来我院消化内镜中心90例行无痛肠镜检查患者随机分为观察和对照组各45例。对照组在检查过程中按传统方法取屈膝左侧卧位,观察组使用自制无痛肠镜检查体位固定装置摆放体位。记录两组患者检查前和检查中心率、血氧饱和度、需调整体位和是否需腹部按压、术后苏醒时间、舒适度以及护士满意度等。结果 观察组检查中心率及血氧饱和度波动幅度显著小于对照组,检查过程中调整体位次数、检查过程中追加麻醉用药量、患者苏醒时间显著少于对照组,患者苏醒后的舒适度和检查过程中护士满意度显著高于对照组(P <0.05)。结论 使用自制无痛肠镜检查体位固定装置摆放检查体位,能够改善因麻醉后全身放松,肌肉松弛,易出现无意识体位改变,双腿屈曲角度的改变,从而避免影响操作过程中镜身在肠腔的结攀,避免反复牵拉镜子而对患者产生不良的刺激,从而有利于稳定患者在检查过程中的心率及血氧饱和度,减少调整体位次数、追加麻醉用药量、腹部按压时长和苏醒时间,提高患者舒适度以及护士满意度。

Objective To investigate the clinical effect of self-made postural fixation device for painless enteroscopy.Methods Ninety cases of painless enteroscopy were randomly divided into observation group(n=45)and control group(n=45).During the examination,the control group was placed in the left lateral decubitus position with the knee flexed according to the traditional method,and the observation group was placed in the body position using a self-made painless enteroscopy body position fixator.Heart rate,oxygen saturation,number of body position adjustment and abdominal compressions,postoperative recovery time,comfort and nurse satisfaction were recorded before and after the examination in both groups.Results The fluctuation range of heart rate and oxygen saturation in the observation group was significantly smaller than that in the control group,the times of body position adjustment and recovery time were significantly less than those in the control group,and the patient comfort and nurse satisfaction were significantly higher than those in the control group(P<0.05).Conclusion The use of self-made painless enteroscopy body position fixation device to place the body position is beneficial to stabilize the heart rate and oxygen saturation in the examination of patients,reduce the times of body position adjustment,the length of abdominal compression and recovery time,and improve the patient comfort and nurse satisfaction.