内镜头端透明帽辅助食管上段异物治疗的对照研究  

A control study of the upper esophageal foreign bodies removal with endoscopic caps

作　　者：杨根源[1] 郭晓红[2] 龚飞跃[1] 林欣[1] 吴琼华[1] 

机构地区：[1]珠海市人民医院内镜中心,广东珠海519000 [2]珠海市人民医院病理科,广东珠海519000

出　　处：《胃肠病学和肝病学杂志》2013年第7期645-647,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的通过比较非镇静状态下透明帽辅助治疗与常规内镜治疗前、治疗中2 min时血压、脉搏、血氧饱和度的动态变化,作呕反应程度,治疗完成时间,食管黏膜损伤情况和视野清晰度,以评价内镜头端透明帽辅助食管上段异物取出的可行性、安全性、有效性和耐受性。方法将144例患者随机分为透明帽辅助治疗组(72例)和常规内镜治疗组(72例);分别监测患者检查前、检查中2 min时的血压、脉搏、血氧饱和度,作呕反应程度,治疗完成时间,食管黏膜损伤情况和视野清晰度。结果透明帽辅助治疗组的血压、脉搏、血氧饱和度变化与常规内镜治疗组比较差异无统计学意义(P>0.05);透明帽辅助治疗组的视野清晰度明显高于常规内镜治疗组(P<0.01);透明帽辅助治疗组的治疗完成时间、作呕反应、黏膜损伤率均低于常规内镜治疗组(P<0.05)。结论内镜头端透明帽辅助食管上段异物治疗是一种可行、安全、有效的治疗方法,并具有较好的耐受性。Objective To study the feasibility, security, tolerability and validity of endoscopic caps assisted removal of foreign bodies in upper esophagus through evaluation of the systolic blood pressure （SBP）, pulse rate（P） and oxygen saturation（SPO2） without sedation. Methods 144 patients were divided into endoscopic caps group and conventional endoscopic group randmly. P, SBP and SPO2 were determined before the examination and at 2-min of the examination. The nausea reaction, treatment time, esophageal mucosal injury and vision clarity were evaluated. Results Our study confirmed there was no difference in SBP, P and SPO2 between endoscopic caps group and conventional endoscopic group. Vision clarity was higher in endoscopic caps than that in conventional endoscopic group （P 〈 0.05）. The nausea reaction, treatment time, esophageal mueosal injury were lower in endoscopic caps group than those in conventional en- doscopic group. Conclusion The study demonstrated less cardiovascular stimulation and esophageal injury in patients undergoing endoscopic caps.

关 键 词：透明帽 食管上段异物 血压 脉搏 血氧饱和度 可行性 安全性 有效性 耐受性 

分 类 号：R768.32[医药卫生—耳鼻咽喉科]