无痛胃镜电凝切除术治疗增生性胃息肉患者的临床效果  

The Application Effect of Painless Gastroscopy Electrocoagulation Resection in the Treatment of Patients with Hyperplastic Gastric Polyps

作　　者：包永茂 Bao Yongmao(Tingzhou Hospital of Fujian Province,Changting Fujian 366300,China)

机构地区：[1]福建省汀州医院,福建长汀366300

出　　处：《医疗装备》2023年第11期58-61,共4页Medical Equipment

摘　　要：目的探讨无痛胃镜电凝切除术治疗增生性胃息肉(HGP)患者的临床效果。方法选取2020年1月至2022年3月福建省汀州医院收治的102例HGP患者为研究对象,按随机数表法将其分为对照组和试验组,各51例。对照组采用常规胃镜行电凝切除术,试验组采用无痛胃镜行电凝切除术,两组均持续随访4个月,比较两组临床总有效率、手术时间、住院时间、创面愈合时间、术后首次排气时间、术后首次排便时间、术中出血量、视觉模拟评分法(VAS)评分、炎症因子水平、生命质量和术后并发症总发生率。结果术后4个月,试验组总有效率高于对照组,差异有统计学意义(P<0.05)。试验组手术时间、住院时间、创面愈合时间、术后首次排气时间、术后首次排便时间均短于对照组,术中出血量少于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。术前,两组血清肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β、IL-6、IL-8水平比较,差异无统计学意义(P>0.05);术后7 d,两组TNF-α、IL-1β、IL-6、IL-8水平均低于术前,且试验组均低于对照组,差异均有统计学意义(P<0.05)。术前,两组生理机能、躯体功能、社会功能、情感职能评分比较,差异无统计学意义(P>0.05);术后4个月,两组生理机能、躯体功能、社会功能、情感职能评分均高于术前,且试验组均高于对照组,差异有统计学意义(P<0.05)。试验组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在无痛胃镜下进行电凝切除术治疗HGP患者的效果显著,能够有效改善相关手术指标,减少炎性反应,降低并发症发生风险,提高患者生命质量。Objective The clinical efficacy of painless gastroscopy electrocoagulation resection in the treatment of patients with hyperplastic gastric polyps(HGP)was explored.Methods With selection of 102 patients with HGP admitted to Tingzhou Hospital of Fujian Province from January 2020 to March 2022 as the study subjects,the patients were divided into the control group and the experimental group using a random number table method,with 51 patients in each group.The total clinical effective rate,surgical time,length of hospital stay,wound healing time,first postoperative exhaust time,first postoperative bowel movement time,intraoperative bleeding volume,visual analogue scale(VAS)score,inflammatory factor levels,quality of life,and overall incidence of postoperative complications were compared between the two groups,with continuous follow-up in both groups for 4 months.Results At 4 months after surgery,the total effective rate in the experimental group was higher than that in the control group,with the statistically significant difference(P<0.05).In the experimental group,the surgical time,hospitalization time,wound healing time,first postoperative exhaust time,and first postoperative bowel movement time were all shorter than those in the control group,the intraoperative bleeding volume was less than that of the control group,and the VAS score was lower than that of the control group,with statistically significant differences(P<0.05).Before surgery,there were no significant differences in serum tumor necrosis factor(TNF)-α,interleukin(IL)-1β,IL-6 and IL-8 levels between two groups(P>0.05).At 7 days after operation,the levels of TNF-α,IL-1β,IL-6 and IL-8 in the two groups were lower than those before operation,and those in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).Before surgery,there were no statistically significant differences in the scores of physiological function,physical function,social function,and emotional function between the two groups

关 键 词：增生性胃息肉 无痛胃镜 电凝术 疼痛程度 创面愈合 

分 类 号：R656.61[医药卫生—外科学]