高频电凝切除术治疗胃息肉对患者血流动力学的影响  

Effect of High Frequency Electrocoagulation Resection on Hemodynamics in Patients with Gastric Polyps

作　　者：敖栋基 阮丽 杨正益 支涛 AO Dongji;RUAN Li;YANG Zhengyi;ZHI Tao(Zhejiang Provincial People's Hospital Bijie Hospital,Bijie 551700,China;不详)

机构地区：[1]浙江省人民医院毕节医院(毕节市第一人民医院),贵州毕节551700

出　　处：《中外医学研究》2024年第27期80-83,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：毕节市科技局科学技术联合基金项目(毕科联合字SY[2019]3号,毕科联合字SY[2019]4号);贵州省卫生健康委科学技术基金项目(gzwjkj2019-1-103)。

摘　　要：目的:分析高频电凝切除术治疗胃息肉对患者血流动力学的影响。方法:选择2023年1—12月在浙江省人民医院毕节医院(毕节市第一人民医院)就诊的120例胃息肉患者作为研究对象,随机分为观察组(n=60)和对照组(n=60)。观察组采用高频电凝切除术治疗,对照组采用常规内镜手术治疗。对比两组手术时间、术中出血量、术前及术中胃黏膜血流量(GMBF)、胃黏膜血速(V)、阻力指数(RI)、搏动指数(PI)等血流动力学指标水平及术后并发症发生率。结果:两组手术时间、术中出血量,差异无统计学意义(P>0.05);术前,两组GMBF、V、RI、PI等血流动力学指标水平比较,差异无统计学意义(P>0.05);术中;观察组GMBF、V高于对照组,差异有统计学意义(P<0.05);两组RI、PI比较,差异无统计学意义(P>0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:高频电凝切除术治疗胃息肉能显著增加患者的胃黏膜血流量和胃黏膜血速,改善血流动力学状态,且术后并发症发生率较低。因此,高频电凝切除术是一种安全、有效的治疗胃息肉的方法。Objective:To analyze the impact of high-frequency electrocoagulation resection on the hemodynamics of patients with gastric polyps.Method:120 patients with gastric polyps admitted to the hospital from January 2023 to December 2023 were selected as the study subjects.They were randomly divided into an observation group(n=60)and a control group(n=60).The observation group received high-frequency electrocoagulation resection,while the control group received conventional endoscopic surgery.The level of hemodynamic indexes and the incidence of postoperative complications were compared between the two groups,such as the operation time,intraoperative blood loss,preoperative and intraoperative gastric mucosal blood flow(GMBF),gastric mucosal blood velocity(V),resistance index(RI),pulsitility index(PI)and so on.Result:There was no statistically significant difference in surgical time and intraoperative bleeding between the two groups of patients(P>0.05).Before surgery,there was no statistically significant difference in the levels of hemodynamic indicators such as GMBF,V,RI and PI between the two groups of patients(P>0.05).During surgery,the GMBF and V of the observation group were higher than those of the control group,and the different was statistically significant(P>0.05).There was no statistically significant difference in the comparison of RI and PI between the two groups of patients(P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the comparison between the different was statistically significant(P>0.05).Conclusion:High frequency electrocoagulation resection can significantly increase the gastric mucosal blood flow and blood velocity in patients with gastric polyps,improve hemodynamic status,which also have a lower incidence of postoperative complications.Therefore,high-frequency electrocoagulation resection is a safe and effective method for treating gastric polyps.

关 键 词：高频电凝切除术 胃息肉 血流动力学 影响 

分 类 号：R656.61[医药卫生—外科学]