超细无痛胃镜在小儿上消化道异物取出中的应用  

Application of Ultrafine Painless Gastroscope in Children with Foreign Bodies in Upper Digestive Tract

作　　者：祁会娟 李萍 李小飞 赵一品 QI Huijuan;LI Ping;LI Xiaofei;ZHAO Yipin(Department of Pediatrics,Zhoukou Maternal and Child Health Hospital(Zhoukou Children’s Hospital),Zhoukou 466000,China)

机构地区：[1]周口市妇幼保健院(周口市儿童医院)儿科,河南周口466000

出　　处：《河南医学研究》2024年第18期3405-3408,共4页Henan Medical Research

摘　　要：目的探讨超细无痛胃镜在小儿上消化道异物取出中的应用及对治疗效果、应激反应和舒适度的影响。方法选取周口市妇幼保健院(周口市儿童医院)2019年5月至2023年9月就诊的上消化道异物患儿158例,按照检查方法分为对照组(79例)、观察组(79例)。比较两组治疗效果、应激反应[皮质醇(Cor)、血糖、甲肾上腺素(NE)]、生命体征[平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_(2))]、舒适度、安全性、家属满意度。结果两组异物均成功取出,观察组异物平均取出时间短于对照组(P<0.05);观察组检查中Cor、血糖、NE低于对照组(P<0.05);观察组检查中MAP、HR低于对照组(P<0.05),SpO_(2)组间-时间点交互作用比较,差异无统计学意义(P>0.05);观察组总不适发生率[1.27%(1/79)]、并发症总发生率[1.27%(1/79)]低于对照组[11.39%(9/79)、6.33%(8/79)](P<0.05);观察组家属总满意度[97.47%(77/79)]高于对照组[87.34%(69/79)](P<0.05)。结论相比常规无痛胃镜,超细无痛胃镜在小儿上消化道异物中异物取出时间短,应激反应小,患儿生命体征稳定,舒适度高,且安全性好,家属满意度高。Objective To investigate the application of ultrafine painless gastroscope in the treatment of foreign bodies in the upper digestive tract of children and its influence on the treatment effect,stress response and comfort level.Methods A total of 158 children with foreign bodies in the upper digestive tract were selected from Zhoukou Maternal and Child Health Hospital(Zhoukou Children’s Hospital)from May 2019 to September 2023,and were divided into control group(79 cases)and observation group(79 cases)according to examination methods.The treatment effect,stress response[cortisol(Cor),blood glucose,norepinephrine(NE)],vital signs[mean arterial pressure(MAP),heart rate(HR),oxygen saturation of blood(SpO_(2))],comfort level,safety and family satisfaction were compared between the two groups.Results Foreign bodies were removed successfully in both groups,and the removal time of foreign bodies in the observation group was shorter than that in the control group(P<0.05).Cor,blood glucose and NE in the observation group were lower than those in the control group(P<0.05).MAP and HR in the observation group were lower than those in the control group(P<0.05),but there was no significant difference in SpO_(2) interaction between the two groups(P>0.05).The total incidence of discomfort[1.27%(1/79)]and complications[1.27%(1/79)]in the observation group were lower than those in the control group[11.39%(9/79)and 6.33%(8/79)](P<0.05).The total satisfaction of family members in the observation group[97.47%(77/79)]was higher than that in the control group[87.34%(69/79)](P<0.05).Conclusion Compared with conventional painless gastroscope,ultra-fine painless gastroscope can remove foreign bodies in children’s upper digestive tract in a short time,less stress reaction,stable vital signs,high comfort,good safety,and high satisfaction of family members.

关 键 词：超细无痛胃镜 上消化道异物 小儿 治疗效果 应激反应 舒适度 

分 类 号：R726.5[医药卫生—儿科]