超细电子胃镜在小儿上消化道疾病诊断中的临床应用分析  

Clinical application of uitraf＇me electronic endoscopy on the diagnosis of pediatric diseases of upper digestive tract

作　　者：周凤霞[1] 陈少军[1] 蒋凌[1] 陈全景[1] 雷勋明[1] 赵玉霞[2] 

机构地区：[1]湖北医药学院附属东风医院儿科教研室,湖北十堰442008 [2]武汉市妇女儿童医疗保健中心内镜室

出　　处：《中国医师进修杂志》2012年第12期28-30,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨超细电子胃镜在小儿上消化道疾病诊断中的临床应用价值。方法选择2009年1月至2010年6月75例疑有上消化道疾病的患儿，按机械抽样法随机分为两组，超细电子胃镜组47例，采用超细电子胃镜检查；普通胃镜组28例，采用普通胃镜检查，观察比较两组的诊断效果及依从情况等资料。结果普通胃镜组依从率为67．9％（19128），超细电子胃镜组依从率为100．0％（47／47），两组比较差异有统计学意义（P〈0．01）。普通胃镜组恶心、流涎及躁动的发生率分别为39．3％（11／28）、28．6％（8，28）、50．0％（14128），高于超细电子胃镜组的8．5％（4／47）、6．4％（3／47）、8．5％（4／47），差异有统计学意义（P〈0．01或〈0．05）。普通胃镜组正确诊断率为84．2％（16，19），超细电子胃镜组正确诊断率为95．7％（45／47），两组比较差异无统计学意义（P〉o．os）。被检成功的普通胃镜组患儿膈肌痉挛、咽痛、心动过缓发生率分别为21．1％（4119）、31．6％（6／19）、21．1％（4／19），超细电子胃镜组分别为0．2．1％（1／47）、2．1％（1，47），两组比较差异有统计学意义（P〈0．01或〈0．05）。结论超细电子胃镜可达到普通胃镜检查的准确度，但相对于普通胃镜，可提高患儿检查的依从性，降低术后并发症的发生率。Objective To explore the clinical application value of ultrafine electronic endoscopy on the diagnosis of pediatric diseases of upper digestive tract. Methods Seventy-five cases suspected upper gastrointestinal diseases from January 2009 to June 2010 were selected and were divided by systematic sampling method into observation group （47 cases） which was diagnosed with ultrafinc electronic endoscopy and control group （28 cases） which was diagnosed by normal endoscopy. The data of diagnosis and compliance of two groups were observed and compared. Results Compliance rate of observation group and control group had significant difference [ 100.0% （47/47） vs. 67.9% （ 19/28 ）, P 〈 0.01 ]. The incidence rates of nausea, salivation and restless of observation group [ 8.5% （4/47）, 6.4% （3/47）, 8.5 %（4/47 ） ] were lower than those of control group [39.3%（11/28）, 28.6%（8/28）, 50.0%（14/28） ]（P 〈 0.01 or 〈 0.05）. Correct diagnosis rate of control group was 84.2% （16/19）, while that of observation group was 95.7 % （45/47）, but comparison of diagnosis showed no significant difference （P 〉 0.05）. The incidence rates of diaphragmatic spasm, sore throat and slow heartbeat in successful examination cases of control group [21.1% （4/19）, 31.6%（6/19）, 21.1% （4/19） ] significant higher than those of observation group [0, 2.1% （1/47）,2.1% （1/47）] （P 〈 0.01 or 〈 0.05）. Conclusion Ultrafine electronic endoscopy can achieve the same accuracy as normal endoscopy, but compared with normal endoscopy, it can improve the compliance of children durihg the examination and reduce the incidence of postoperative complications.

关 键 词：胃镜 儿童 消化道系统疾病 

分 类 号：R72[医药卫生—儿科]