无痛技术治疗食道静脉曲张的效果观察  

Observation on the Effect of Painless Technique in the Treatment of Esophageal Varices

作　　者：满桂月[1] 黄月初[1] 覃馨颉 MAN Gui-yue;HUANG Yue-chu;QIN Xin-jie(Endoscopy Department of Hechi People’s Hospital,Guangxi,Hechi,Guangxi 547000)

机构地区：[1]广西河池市人民医院内镜室,广西河池547000

出　　处：《智慧健康》2020年第10期168-169,共2页Smart Healthcare

摘　　要：目的探讨全麻无痛技术下经胃镜套扎治疗食道静脉曲张的治疗效果。方法根据患者自愿选择,将110例患者分为无痛技术胃镜组(观察组)55例和常规胃镜检查组(对照组)55例,观察组使用芬太尼联合丙泊酚镇静后进行套扎治疗,对照组则在清醒状态下进行套扎治疗。比较两组患者治疗前的应激状况(心率、血压、呼吸频率)、治疗中不良反应发生情况、对治疗效果满意度及对该项检查的依从性(是否愿意复查胃镜)。结果观察组治疗前各种应激、治疗中各种不良反应、对治疗效果满意度、复查的依从性与对照组相比,均具有明显差异(P<0.05)。结论无痛胃镜技术能明显减轻患者检查时的痛苦,是一种安全、舒适、不良反应少的检查手段,是内镜诊疗的发展方向。Objective To explore the therapeutic effect of endoscopic ligation on esophageal varices under general anesthesia and painless technique.Methods According to the patients’voluntary choice,110 patients were divided into painless technical gastroscopy group(observation group)with 55 cases and routine gastroscopy group(control group)with 55 cases.The observation group was treated with fentanyl combined with propofol after sedation,while the control group was treated with ligation in awake state.The stress state(heart rate,blood pressure,respiratory frequency)before treatment,adverse reactions during treatment,satisfaction with the treatment effect and compliance with the examination(whether willing to reexamine gastroscope)were compared between the two groups.Results Compared with the control group,the stress before treatment,adverse reactions during treatment,satisfaction with treatment effect and compliance of reexamination in the observation group were significantly different(P<0.05).Conclusion Painless gastroscopy can significantly reduce the pain of patients during the examination.It is a safe,comfortable and less adverse reaction examination method,and it is the development direction of endoscopic diagnosis and treatment.

关 键 词：无痛技术 食道静脉曲张 观察 效果 

分 类 号：R575.2[医药卫生—消化系统]