麻醉胃镜的临床应用研究  

The Clinical Application of Anesthesia Gastroscopy

作　　者：岳鑫[1] 崔立红[1] 于兰[1] 李洁[1] 

机构地区：[1]海军总医院消化内科,北京100048

出　　处：《医学综述》2013年第6期1129-1131,共3页Medical Recapitulate

摘　　要：目的评价麻醉胃镜在诊疗中的安全性及可行性。方法选取拟行麻醉胃镜诊疗的患者1858例为观察组,另选取同期进行普通胃镜检查的患者1153例为对照组。观察组患者于诊疗前静脉推注丙泊酚进行麻醉,对照组不注射药物。诊疗中严密观察两组患者心率、血氧饱和度(SpO2)及不良反应,并对诊疗的满意度及患者是否愿意再次接受胃镜检查进行调查。结果两组患者均顺利完成胃镜诊疗;观察组出现心率<60次/分者占4.41%,与对照组相比差异无统计学意义(P>0.05);观察组出现SpO2<90%者为6.35%,眩晕走路不稳者为5.17%,注射部位疼痛者为17.06%,恶心者为0%,咽痛者为0%,自主拔管者为0%,对诊疗满意者为98.76%,愿意再次接受检查者为99.25%,与对照组相比差异有统计学意义(P<0.05)。结论麻醉胃镜是安全可行的诊疗技术,值得临床推广。Objective To evaluate the safety and feasibility of anesthesia gastroscopy in the treatment process.Methods 1858 patients who were scheduled for anesthesia gastroscopy were selected as observation group,at the same time,1153 patients who were scheduled for ordinary gastroscopy were selected as control group.The patients of observation group were anesthesiaed by propofol before treatment,the heart rate,oxygen saturation（SpO2）and adverse reactions of the patients of the two groups were monitored during treatment,and all the patients were investigated for the satisfaction to this treatment and the attitude to re-gastroscopy.Results All the patients successfully completed gastroscopy treatment.In the observation group,the incidence of heart rate60 beats/min was 4.41%,there was no statistically significant difference between the two groups（P0.05）.The incidence of SpO290%,dizziness ataxia,the pain of injection site,nausea,pharyngalgia,self-extubation,the satisfaction to this treatment and attitude to re-gastroscopy was 6.35%,5.17%,17.06%,0%,0%,0%,98.76% and 99.25% respectively,there was statistically significant difference between the two groups（P0.05）.Conclusion The anesthesia gastroscopy is a feasible and safe treatment technology,which is worth of the clinical promotion.

关 键 词：麻醉胃镜 丙泊酚 不良反应 

分 类 号：R573[医药卫生—消化系统]