腹部按压操作在无痛胃镜检查麻醉中预防低氧血症的效果评价  

Evaluation of the eff ect of abdominal compression on the prevention of hypoxemia during painless gastroscopy

作　　者：刘九月 金香兰 王化真 汪洋 毕贺惠 王诗妍 Liu Jiuyue;Jin Xianglan;Wang Huazhen;Wang Yang;Bi Hehui;Wang Shiyan(Anesthesiology Department of Yanbian University Affi liated Hospital,Yanbian Hospital,Jilin Yanji 133000,China)

机构地区：[1]延边大学附属医院延边医院麻醉科,吉林延吉133000

出　　处：《临床普外科电子杂志》2024年第2期34-37,61,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的观察腹部按压操作在无痛胃镜检查麻醉中预防低氧血症的效果。方法选取2021年9月至2022年11月延边大学附属医院无痛胃镜检查门诊及住院患者188例,随机数字表法分为观察组和对照组,各94例。对照组采取鼻导管吸氧的方式,观察组在对照组的基础上辅助腹部按压操作,对比两组患者的最低脉搏血氧饱和度(oxyhemoglobin saturation,SpO_(2))水平、低氧血症发生率、胃镜检查时间、退镜暂停检查发生率、丙泊酚使用总量、苏醒时间及术后不良反应发生率。结果观察组患者的最低SpO_(2)水平高于对照组,胃镜检查时间少于对照组,且退镜发生率、低氧血症发生率均低于对照组,差异均有显著性(P<0.05),但两组患者达到最低SpO_(2)水平时的心率及不良反应发生率无显著差异(P>0.05)。结论腹部按压操作在无痛胃镜检查中可维持较高的SpO_(2)水平,有效预防低氧血症的发生,缩短胃镜检查时间,从而保证胃镜检查患者的安全,并提高检查效率。Objective To observe the effect of abdominal compression operation in preventing hypoxemia in painless gastroscopy anesthesia.Method 188 patients who underwent painless gastroscopy examination in the outpatient and inpatient departments of Yanbian University Affi liated Hospital from September 2021 to November 2022 were randomly divided into an observation group and a control group,with 94 patients in each group,using a random number table method.The control group was treated with nasal cannula oxygen inhalation,while the observation group was assisted with abdominal compressions on the basis of the control group.The lowest pulse oxyhemoglobin saturation(SpO_(2))level,incidence of hypoxemia,gastroscopy examination time,incidence of withdrawal and suspension of examination,total amount of propofol used,awakening time,and incidence of postoperative adverse reactions were compared between the two groups of patients.Result The lowest SpO_(2) level of the observation group patients was higher than that of the control group,and the gastroscopy examination time was shorter than that of the control group.The incidence of dropout and hypoxemia were both lower than those of the control group,and the diff erences were signifi cant(P<0.05).However,there was no signifi cant diff erence in heart rate and incidence of adverse reactions between the two groups of patients when they reached the lowest SpO_(2) level(P>0.05).Conclusion Abdominal compression operation can eff ectively prevent the occurrence of hypoxemia in painless gastroscopy,maintain a high SPO_(2) level,shorten the time of gastroscopy,and improve the effi ciency of gastroscopy.

关 键 词：腹部按压 无痛胃镜 血氧饱和度 低氧血症 

分 类 号：R614[医药卫生—麻醉学]