无痛食管镜在食管异物取出术中的临床应用  

Painless esophagoscopy in extraction of foreign bodies in the esophagus

作　　者：何中扬[1] 梁华[1] 覃宏康[1] 唐亮[1] 

机构地区：[1]广西民族医院耳鼻咽喉科,南宁530001

出　　处：《山东大学耳鼻喉眼学报》2008年第2期171-172,175,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨使用异丙酚开展无痛食管镜下行食管异物取出术的优越性。方法将应用异丙酚静脉麻醉进行无痛食管镜下食管异物取出术的46例作为无痛组,同期行常规食管镜下异物取出术的46例作为对照组,比较两组手术时间、成功率和不良反应的差异。结果无痛组在食管异物取出术中呛咳、恶心呕吐、躁动、憋气等不良反应症状明显低于对照组;手术难以忍受和不舒适的感觉明显减少,差异有统计学意义(P<0.005);操作时间、成功率差异无统计学意义(P>0.05),两组均无严重并发症发生,无气管插管。结论异丙酚静脉麻醉进行无痛食管镜术能减轻患者痛苦,减少术中不良反应,是食管异物取出中安全、快捷、舒适的有效方法。Objective To evaluate the effects and advantages of propofol intravenous anesthesia in painless esophagoscopy for extraction of foreign bodies in the esophagus.Methods 46 patients underwent painless esophagoscopy,and on other 46 patients undergoing conventional esophagoscopy served as the control.The successful rate,operative time and adverse reactions were compared between the two groups.Results Adverse events of bucking,nausea and vomiting,restlessness breath holding in the painless group were much lower than those in the control group.There were statistic differences between the two groups（P〈0.005）.However,the operative time and the successful rate were not significantly different between the two groups（P〉0.05）.No severe complication was found in either group.None needed endotracheal intubation.Conclusion Intravenous sedation with propofol in extraction of foreign bodies in the esophagus can relieve the suffering and adverse reactions,and it is safe,quick,comfortable and effective for extraction of foreign bodies in the esophagus and is worthy to be applied in the clinic.

关 键 词：食管镜术 异丙酚 异物 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]