无痛消化内镜下高频电凝电切术对胃息肉患者围手术期指标的影响及安全性分析  

Safety Analysis and Influence of Perioperative Indexes of Patients with Gastric Polyps by High Frequency Electrocoagulation and Electroresection under Painless Digestive Endoscopy

作　　者：冯正菱 李俊 FENG Zhengling;LI Jun(Dangyang People's Hospital,Dangyang 444100,China;不详)

机构地区：[1]当阳市人民医院,湖北当阳444100

出　　处：《中外医学研究》2024年第3期45-48,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究无痛消化内镜下高频电凝电切术对胃息肉患者围手术期指标及安全性的影响。方法:选择2022年1月—2023年3月当阳市人民医院收治的136例胃息肉患者。根据随机数表法分为对照组和研究组,各68例。对照组给予无痛肠镜下氩离子凝固术,研究组给予无痛消化内镜下高频电凝电切术,比较两组的围手术期指标、疼痛程度、临床疗效、满意度、并发症发生情况及治疗前后生活质量评分。结果:研究组临床总有效率为95.59%,高于对照组的85.29%,差异有统计学意义(P<0.05)。研究组术中出血量、住院费用少于对照组,术后24 h视觉模拟评分法(VAS)评分低于对照组,切除时间、肠鸣音恢复时间、住院时间、下床活动时间、首次排气时间、首次排便时间、创面愈合时间均短于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率为2.94%,低于对照组的11.76%,差异有统计学意义(P<0.05)。治疗前,两组各项生活质量评分比较,差异无统计学意义(P>0.05);治疗后,两组各项生活质量评分均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组总满意度为98.53%,高于对照组的89.71%,差异有统计学意义(P<0.05)。结论:无痛消化内镜下高频电凝电切术能改善胃息肉患者围手术期指标,减轻疼痛程度,提高生活质量和满意度,且疗效和安全性更高。Objective:To explore the influence and safety of high frequency electrocoagulation and electroresection under painless digestive endoscopy on perioperative indexes of patients with gastric polyps.Method:A total of 136 patients with gastric polyps treated in the Dangyang People's Hospital from January 2022 to March 2023 were selected.According to the method of random number table,they were divided into control group and study group,with 68 cases in each group.The control group was given painless colonoscopy argon ion coagulation,and the study group was given high frequency electrocoagulation and electroresection under painless digestive endoscopy.Perioperative indexes,pain degree,clinical efficacy,satisfaction,complications and quality of life before and after treatment were compared between the two groups.Result:The total clinical effective rate of the study group was 95.59%,which was higher than 85.29%of the control group,the difference was statistically significant(P<0.05).The intraoperative blood loss and hospitalization cost of the study group were lower than those of the control group,the visual analogue scales(VAS)score at 24 h after surgery was lower than that of the control group,and the resection time,bowel sound recovery time,hospital stay,getting out of bed time,first exhaust time,first defecation time,and wound healing time were all shorter than those of the control group,the differences were statistically significant(P<0.05).The complication rate of the study group was 2.94%,which was lower than 11.76%of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in quality of life scores between the two groups(P>0.05).After treatment,all quality of life scores of the two groups were higher than those before treatment,and the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The total satisfaction rate of the study group was 98.53%,which was higher than 89.71%of the contr

关 键 词：无痛消化内镜 高频电凝电切术 胃息肉 围手术期指标 安全性 生活质量 

分 类 号：R656.6[医药卫生—外科学]