无痛胃镜联合肠镜检查并发症原因分析及临床护理干预  

Cause analysis of complications of painless gastroscopy combined with enteroscopy and clinical nursing intervention

作　　者：莫凤笑 林胜鑫 陈奕銮 Mo Fengxiao;Lin Shengxin;Chen Yiluan(Department of Internal Medicine,Guancheng Hospital of Dongguan City,Guangdong Dongguan 523000;Department of Anesthesiology,Guancheng Hospital of Dongguan City,Guangdong Dongguan 523000;Department of Physical Examination,Guancheng Hospital of Dongguan City,Guangdong Dongguan 523000)

机构地区：[1]东莞市莞城医院内科,广东东莞523000 [2]东莞市莞城医院麻醉科,广东东莞523000 [3]东莞市莞城医院体检科,广东东莞523000

出　　处：《中国社区医师》2021年第7期127-128,共2页Chinese Community Doctors

基　　金：2020年东莞市社会科技发展一般项目立项,编号:202050715027787。

摘　　要：目的:分析无痛胃镜联合肠镜检查发生并发症的原因,并总结临床护理干预措施。方法:选取2019年7月-2020年6月行无痛胃镜联合肠镜检查的患者65例,根据是否发生并发症分为并发症组16例与对照组49例,分析并发症发生原因,总结护理措施。结果:并发症组患者体质指数(BMI)≥24 kg/m~2、负性情绪、术前8 h禁食水、呼吸道疾病史、异常气道的比例均高于对照组,差异有统计学意义(P<0.05)。经多因素分析,负性情绪、禁食水时间、异常气道是无痛胃镜联合肠镜检查时发生并发症的独立危险因素。结论:无痛胃镜联合肠镜检查患者并发症发生的危险因素为负性情绪、禁食水时间、异常气道,应加强对患者检查前的心理疏导、检查中的护理及检查后的护理指导。Objective:To analyze the causes of complications of painless gastroscopy combined with colonoscopy,and summarize the clinical nursing intervention measures.Methods:From July 2019 to June 2020,65 patients undergoing painless gastroscopy combined with colonoscopy were selected,according to the occurrence of complications,they were divided into the complication group of 16 cases and the control group of 49 cases.We analyzed the causes of complications and summarized the nursing measures.Results:In the complication group,the proportion of patients with BIM index≥24 kg/m2,negative emotion,fasting 8 hours before operation,history of respiratory diseases and abnormal airway were higher than those in the control group,the difference was statistically significant(P<0.05).Multivariate analysis showed that negative emotion,fasting time and abnormal airway were independent risk factors for complications of painless gastroscopy combined with colonoscopy.Conclusion:The risk factors of complications of painless gastroscopy combined with colonoscopy are negative emotion,fasting time,abnormal airway,we should strengthen the psychological counseling before the examination,the nursing during the examination and the nursing guidance after the examination.

关 键 词：无痛胃镜 肠镜检查 并发症 因素分析 临床护理 

分 类 号：R473.5[医药卫生—护理学]