无痛胃镜在小儿上消化道异物治疗中的应用  

Application of Painless Gastroscope in the Treatment of Upper Digestive Tract Foreign Body in Children

作　　者：王辉 WANG Hui(Department of Pediatrics,People's Hospital of Lingcheng District,Dezhou,Shandong Province,253500 China)

机构地区：[1]德州市陵城区人民医院儿科

出　　处：《系统医学》2019年第18期92-94,共3页Systems Medicine

摘　　要：目的评价无痛胃镜在小儿上消化道异物治疗中的应用效果。方法回顾2017年10月-2018年11月该院收治的60例上消化道异物患儿临床资料,根据是否实施无痛胃镜治疗将60例患儿分为对照组、实验组,每组30例患儿。对照组患儿行常规方案治疗,实验组患儿行无痛胃镜治疗,对比两种治疗措施对异物取出成功率、心率、平均动脉压、血氧饱和度、不良反应发生率的影响。结果异物取出成功率对照组90.0%与实验组93.3%相比,差异无统计学意义(χ^2=0.218,P=0.640);实验组治疗中心率、平均动脉压低于对照组,差异有统计学意义(P<0.05);而治疗中血氧饱和度相比差异无统计学意义(P>0.05);实验组与对照组治疗后心率、平均动脉压水平、血氧饱和度两组相比差异无统计学意义(P>0.05)。不良反应发生率实验组10.0%低于对照组43.3%,差异有统计学意义(χ^2=8.523,P=0.004)。结论无痛胃镜在小儿上消化道异物治疗中,对稳定患儿心率、平均动脉压、血氧饱和度具有积极作用,同时还可减少不良反应发生率,值得临床推广应用。Objective To evaluate the effect of painless gastroscopy in the treatment of upper digestive tract foreign bodies in children.Methods The clinical data of 60 children with upper digestive tract foreign body admitted to the hospital from October 2017 to November 2018 were reviewed.According to whether painless gastroscopy was per-formed,60 children were divided into control group and experimental group,30 cases in each group.The children in the control group underwent routine treatment.The children in the experimental group underwent painless gastroscopy.The effects of the two treatments on the success rate of foreign body extraction,heart rate,mean arterial pressure,blood oxygen saturation and adverse reaction rate were compared.Results Compared with the experimental group 93.3%,90.0%of the foreign body removal success rate in the control group was not statistically significant(χ^2=0.218,P=0.640).The treatment center rate and mean arterial pressure were lower in the experimental group than in the control group.The difference was statistically significant(P<0.05);and the blood oxygen saturation was not statistically significant in the treatment(P>0.05);the experimental group and the control group were not statistically significant after treatment,including heart rate,mean arterial blood pressure,and oxygen saturation(P>0.05).The incidence of adverse reactions was 10.0%in the experimental group and 43.3%in the control group,and the difference was statistically significant(χ^2=8.523,P=0.004).Conclusion Painless gastroscopy has a positive effect on stable heart rate,mean arterial pressure and oxygen saturation in children with upper digestive tract foreign body.It can also reduce the incidence of adverse reac-tions,which is worthy of clinical application.

关 键 词：无痛胃镜 小儿上消化道异物 异物取出成功率 不良反应发生率 

分 类 号：R725.7[医药卫生—儿科]