无痛胃肠镜联合检查中操作顺序对检查的影响  

Impact of procedural sequences in same-day painless bidirectional endoscopy

作　　者：桂敬萍 黄琳娜 王艳 汪玮 李生[1] 丁百静[1] GUI Jing-ping;HUANG Lin-na;WANG Yan;WANG Wei;LI Sheng;DING Bai-jing(Department of Gastroenterology,the Second People’s Hospital of Wuhu,241000Wuhu,Anhui,China)

机构地区：[1]皖南医学院附属芜湖市第2人民医院消化科,安徽芜湖241000

出　　处：《临床消化病杂志》2021年第5期343-346,共4页Chinese Journal of Clinical Gastroenterology

摘　　要：[目的]对比无痛胃、肠镜联合检查中胃镜与肠镜的先后操作顺序对检查的影响。[方法]采用随机数字表法将研究对象167例分为A组(90例)、B组(77例),A组先行胃镜检查再行肠镜检查,B组先行肠镜检查再行胃镜检查,对比2组的术中麻醉药物使用剂量、操作时间、不良反应(包括窒息、呛咳、打鼾、呃逆)、术中生命体征(心率、血压、血氧饱和度)。[结果]A组与B组术中麻醉药物使用剂量、操作时间及术中生命体征比较均差异无统计学意义(P>0.05)。A组术中不良反应发生率为10.00%(9例),其中窒息1例、呛咳5例、打鼾2例、呃逆1例;B组术中不良反应发生率为22.08%(17例),其中窒息1例、呛咳7例、打鼾9例、呃逆0例。A组呛咳发生率低于B组,差异具有统计学意义(P<0.05),A组总体不良反应发生率低于B组,差异有统计学意义(P<0.05)。[结论]在胃、肠镜联合检查时,先行胃镜检查再行肠镜检查的操作顺序不良反应发生率更低,值得在临床上推广。[Objective]To compare the impact of esophagogastroduodenoscopy(EGD)-colonoscopy and colonoscopy-EGD sequences on the patients safety and operation procedure.[Methods]The subjects were divided into groups A and B according to the random number table method,group A underwent EGD-colonoscopy sequence,group B underwent colonoscopy-EGD sequence.Adverse reactions(including asphyxiation,choking,snoring,hiccup),operating time,dose of sedative,vital signs(heart rate,blood pressure,oxygen saturation)during same-day bidirectional endoscopy were recorded.[Results]There were no significant differences in intraoperative anesthetic dosage,operation time and intraoperative vital signs between group A and group B(P>0.05).The incidence of adverse reactions in group A was 10.00%(n=9),including 1 case of suffocation,5 cases of choking,2 cases of snoring,and 1 case of hiccup.The incidence of adverse reactions in group B was 22.08%(n=17),including 1 case of suffocation,7 cases of choking,9 cases of snoring,and 0 cases of hiccup.The incidence of cough in group A was lower than that in group B,and the difference was statistically significant(P<0.05).The all adverse reactions in group A was lower than that in group B,and the difference was statistically significant(P<0.05).[Conclusion]In same-day bidirectional endoscopy,the adverse reaction of EGD-colonoscopy sequence is lower,which is more worthy of clinical recommendation.

关 键 词：胃镜术 结肠镜 联合检查 不良反应 

分 类 号：R573[医药卫生—消化系统]