双气囊小肠镜检查中应激反应的观察与干预对策  

The survey and intervention measures for the stress reaction in double- balloon enteroscopy

作　　者：黄海华[1] 潘杰[1] 朱丽明[1] 金捷[1] 翁冬兰[1] 叶碧云[1] 缪国凤[1] 

机构地区：[1]浙江省温州市第二人民医院内镜中心,325000

出　　处：《中国实用护理杂志》2010年第3期20-22,共3页Chinese Journal of Practical Nursing

基　　金：温州市卫生局医药卫生科研项目（2009B035）

摘　　要：目的调查双气囊小肠镜检查中患者的应激反应，探讨可能的影响因素及干预对策。方法以60例双气囊小肠镜检查患者为研究对象，监测检查过程心血管反应，观察记录生理反应，按患者心血管反应程度分为2组，进行相关因素的单因素分析。结果60例患者生理反应发生率为68．3％，心血管反应发生率56．7％。检查中与检查后、检查前与检查中患者的血压、心率和血氧饱和度比较均有显著差异。分组分析表明应激反应受多种因素影响。结论双气囊小肠镜检查中患者可发生不同程度的应激反应，其影响因素为检查方式、患者性别、年龄、情绪、检查时间、内镜医生操作经验等，可根据影响因素采取相应干预对策以减轻应激反应。Objective The stress reaction in double-balloon enteroscopy was investigated, the influencing factors and intervention countermeasures were studied. Methods Cardiovascular effects and physiological reactions of 60 double-balloon enteroscopy patients were surveyed. The patients were divided into 2 groups according to the cardiovascular effects to underwent single factor analysis of related factors. Results The incidence of physiological reactions was 68.3%, the incidence of cardiovascular reactions was 56.7%. Evident difference existed in blood pressure, heart rate and blood oxygen saturation rate before,during and after examination. The grouping analysis showed cardiovascular effects were influenced by many kinds of factors. Conclusions Different degrees of the stress reactions in double-balloon enteroscopy might appear. The influencing factors included the enteroscopy mode and time, gender, age, mood, and physician operation experience. The stress reactions might be reduced by taking the corresponding intervention measures according to the influencing factors.

关 键 词：双气囊小肠镜检查 应激反应 干预 

分 类 号：R574[医药卫生—消化系统]