静脉麻醉或普通胃镜在异物取出中的应用  

Application of Intravenous Anesthesia-based or Ordinary Gastroscopy on Removal of Foreign Bodies

作　　者：邵伟 SHAO Wei(Gastroenterology Department,Pufang Hospital of Chibi City,Chibi Hubei 437300,China)

机构地区：[1]湖北省赤壁市蒲纺医院消化内科,湖北赤壁437300

出　　处：《中国继续医学教育》2020年第32期124-127,共4页China Continuing Medical Education

摘　　要：目的分析上消化道异物分别应用静脉麻醉胃镜和普通胃镜的效果。方法采用分层抽样法抽选2018年1月-2019年10月我院接收的上消化道异物共98例患者作为研究对象,并用均等双盲划分法将其中49例纳入对照组(应用普通胃镜),剩余49例纳入观察组(应用静脉麻醉胃镜),观察两组异物取出时间及成功率和不良反应情况。结果观察组上消化道异物取出时间<5 min占比较对照组高,10~15 min、>15 min占比较对照组低,差异有统计学意义(P<0.05)。观察组治疗成功率比对照组高,不良反应出现例数比对照组少,差异有统计学意义(P<0.05)。结论和普通胃镜相比,静脉麻醉麻醉能提升上消化道异物患者的治疗成功率,缩短其异物取出时间,减少不良反应出现。Objective To analyze the effects of intravenous anesthesia-based or ordinary gastroscopy on removal of foreign bodies.Methods Through stratified sampling method,98 patients with foreign bodies in upper digestive tract from January 2018 to October 2019 were chosen and assigned to control group(n=49)and observation group(n=49).The control group adopted the ordinary gastroscopy;the observation group adopted the gastroscopy under the intravenous anesthesia.The removal time and successful removal rate of foreign bodies and adverse reactions were assessed.Results The proportion of patients with removal time(<5 min)in the observation group was higher than control group;the proportion of patients with removal time(10~15 min or>15 min)was lower than control group(P<0.05);the successful removal rate in the observation group was higher than control group;the adverse event rate in the observation group was lower than control group(P<0.05).Conclusion Compared with ordinary gastroscopy,intravenous anesthesia-based gastroscopy can increase the successful removal rate of foreign bodies,shorten the removal time and reduce the adverse reactions.

关 键 词：普通胃镜 静脉麻醉胃镜 上消化道异物 异物取出时间 治疗成功率 不良反应 

分 类 号：R573[医药卫生—消化系统]