隔离食道通气装置在无痛胃镜检查中的应用研究  

Application research of isolated esophageal ventilation device in painless gastroscopy

作　　者：许滔 唐国强[1] 李武兰 钟旭 贺光宏 周妮娜[1] XU Tao;TANG Guo-qiang;LI Wu-lan(Anesthesiology Department,Zigong First People's Hospital,Zigong 643000,China;不详)

机构地区：[1]自贡市第一人民医院麻醉科,四川自贡643000

出　　处：《中国医学装备》2023年第12期120-124,共5页China Medical Equipment

基　　金：四川省医学科研课题(S19008)“隔离食道通气装置及胃镜检查装置的临床应用研究”;四川省自贡市科技局重点科技计划(2019ZC16)“新型隔离食道通气装置临床应用研究”。

摘　　要：目的:探讨隔离食道通气装置在无痛胃镜中的应用价值。方法:选取医院收治的200例需进行隔离食道的无痛胃镜治疗患者,按照随机数表法将其分为观察组和对照组,每组100例,观察组采用隔离食道通气装置+胃镜检查,对照组采用普通面罩通气+胃镜检查。记录两组患者入室时(T0)、置入通气装置前(T1)、置入通气装置后即刻(T2)、胃镜检查中(T3)以及胃镜检查后(T4)5个时间点的心率、血压、呼吸次数及血氧饱和度(SpO_(2)),比较两组并发症发生率、不良事件发生情况,以及丙泊酚总用量、胃镜操作时间、苏醒时间及留观时间;运用自制满意度调查评估量表评估患者对检查的满意情况。结果:两组患者在T1~T4时的4个时间点SpO_(2)对比差异均有统计学意义(t=23.150,t=14.720,t=17.900,t=18.520;P<0.05),在T0时间点对比无统计学意义;两组患者血压、心率及呼吸频率在不同时间点对比均无统计学意义。对照组与观察组患者并发症总发生率分别为68.00%和13.00%。对照组患者并发症总发生率显著高于观察组,差异均有统计学意义(χ^(2)=62.766,P<0.05);观察组患者丙泊酚总用量、胃镜检查时间及留观时间均少于对照组,差异均有统计学意义(t=4.977,t=20.040,t=6.486;P<0.05);两组患者苏醒时间对比差异无统计学意义。对照组与观察组患者对无痛胃镜检查的满意度分别为79.00%和95.00%,且对照组低于观察组,差异有统计学意义(χ^(2)=11.317,P<0.05)。结论:隔离食道通气装置用于无痛胃镜检查,其预防操作中SpO_(2)的下降改善患者氧合状态,降低呛咳等不良反应的发生率,减少反流等并发症的产生,缩短胃镜检查时间,提高患者对检查的满意度,具有较好的安全性。Objective:To explore the application research of isolated esophageal ventilation device in painless gastroscopy.Methods:A total of 200 patients who underwent painless gastroscopy requiring esophageal isolation were selected,and they were randomly divided into an observation group(isolated esophageal ventilation device+gastroscopy)and a control group(ordinary mask ventilation+gastroscopy),with 100 cases in each group.The heart rates,blood pressures,the numbers of breaths and blood oxygen saturation(SpO_(2))of 5 time points of two groups were recorded at entering time(T0),pre installing ventilation device(T1),post installing ventilation device(T2),during gastroscopy(T3)and post gastroscopy(T4).And then,the incidence of complications,occurrence of adverse events,total dosages of Propofol,operation times of gastroscopy,wake-up times and observation times of two groups were compared.Patients'satisfactions for the examination were evaluated by self-designed satisfaction survey and evaluation scale.Results:The differences of SpO_(2)between the two groups of patients at T1-T4 time points were statistically significant(t=23.150,t=14.720,t=17.900,t=18.520,P<0.05),respectively,and the difference of that between two groups at T0 time point was not statistically significant.There were no significant differences in blood pressure,heart rate and respiratory frequency between the two groups of patients at different time points.The total incidences of complications in the control group and the observation group were respectively 68.00%and 13.00%.The total incidence of complications in the control group was significantly higher than that in the observation group,and the difference was statistically significant(χ^(2)=62.766,P<0.05).The total dosage of Propofol,time of gastroscopy examination and observation time of the observation group were significantly lower than those of the control group,and the differences were statistically significant(t=4.977,t=20.040,t=6.486,P<0.05),respectively.There was no statistically significant diff

关 键 词：隔离食道通气装置 无痛胃镜检查 血氧饱和度(SpO_(2)) 

分 类 号：R573[医药卫生—消化系统]