无痛胃镜治疗小儿上消化道异物的临床效果  

Clinical effect of painless gastroscopy in the treatment of upper gastrointestinal foreign bodies in children

作　　者：李伟[1] LI Wei(Pediatrics Department,Yancheng First Hospital Affiliated of Nanjing Uviversity Medical College/Yancheng No.1 People's Hospital,Yancheng 224000,China)

机构地区：[1]南京大学医学院附属盐城第一医院/盐城市第一人民医院儿科,江苏盐城224000

出　　处：《临床医学研究与实践》2024年第28期83-86,共4页Clinical Research and Practice

摘　　要：目的探析无痛胃镜治疗小儿上消化道异物的临床效果及对异物取出成功率、血流动力学指标与应激指标的影响。方法选取2022年1月至2024年1月盐城市第一人民医院收治的50例上消化道异物患儿为研究对象,随机将其分为对照组和观察组,每组25例。对照组采用常规胃镜治疗,观察组采用无痛胃镜治疗。比较两组的异物取出成功率、血流动力学指标、应激指标及不良反应发生情况。结果观察组的异物取出成功率显著高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组的平均动脉压(MAP)、心率(HR)及脉搏血氧饱和度(SpO_(2))比较,差异无统计学意义(P>0.05);治疗后,观察组的MAP、HR及SpO_(2)高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组的皮质醇(Cor)、去甲肾上腺素(NE)及肾上腺素(E)水平比较,差异无统计学意义(P>0.05);治疗后,观察组的Cor、NE及E水平低于对照组,差异具有统计学意义(P<0.05)。观察组的不良反应总发生率低于对照组,差异具有统计学意义(P<0.05)。结论无痛胃镜治疗小儿上消化道异物的效果显著,可提高异物取出成功率,稳定患儿生命体征,减少不良反应发生情况,值得临床借鉴及推广。Objective To explore the clinical effect of painless gastroscopy in the treatment of upper gastrointestinal foreign bodies in children and its influences on the success rate of foreign body removal,hemodynamic indexes and stress indexes.Methods A total of 50 children with upper gastrointestinal foreign bodies admitted in Yancheng No.1 People's Hospital from January 2022 to January 2024 were selected as the research objects and randomly divided into control group and observation group,with 25 cases in each group.The control group was treated with conventional gastroscopy,and the observation group was treated with painless gastroscopy.The success rate of foreign body removal,hemodynamic indexes,stress indexes and adverse reactions were compared between the two groups.Results The success rate of foreign body removal in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in mean arterial pressure(MAP),heart rate(HR)and pulse oxygen saturation(SpO_(2))between the two groups(P>0.05);after treatment,the MAP,HR and SpO_(2) in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in the levels of cortisol(Cor),norepinephrine(NE)and epinephrine(E)between the two groups(P>0.05);after treatment,the levels of Cor,NE and E in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Painless gastroscopy in the treatment of upper gastrointestinal foreign bodies in children has a significant effect,it can improve the success rate of foreign body removal,stabilize the vital signs of children,and reduce the occurrence of adverse reacti

关 键 词：无痛胃镜 小儿 上消化道异物 异物取出成功率 应激反应 

分 类 号：R734.2[医药卫生—肿瘤]