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1、Clinicalstudyonpainlessgastroscopyin1000patients李爽張霞】,張建培I,陳錫美I(1.同濟(jì)犬學(xué)附屬同濟(jì)醫(yī)院消化內(nèi)科,上海200065;2.寶山中心醫(yī)院消化內(nèi)科,上海201900)LiShuang12,ZhangXia1,ZhangJian-pei1,ChenXi-mei1(l.Dept.ofGastroenterology,TongjiHospital,TongjiUniversity,Shanghai200065,China;2.Dept,ofGastroenterology,BaoshanDistrictCenterHospital,
2、Shanghai201900,China)第一作者:李爽,1976.2,男,主治醫(yī)師,上海寶山中心醫(yī)院消化內(nèi)科(上海寶山區(qū)友誼路181號(hào),201900),現(xiàn)于上海同濟(jì)大學(xué)附屬同濟(jì)醫(yī)院就讀同等學(xué)歷碩士研究牛。電了郵箱:myydngyang2003@sina.com,電話:15800647366,通信地址:上海M寶山區(qū)雙慶路85弄19號(hào)402室,郵編:201900【摘要】目的探討無痛冉鏡檢查術(shù)的優(yōu)越性和安全性。方法應(yīng)川丙泊酚行無痛鬥鏡檢査1000例,簾規(guī)胃鏡檢査1000例作為對(duì)照。記錄所有患者不適反應(yīng)以及心率(11R)、血氧飽和度(SpOJ、血壓(Bp)的變化。結(jié)果無痛組患者咳嗽、咽痛等
3、不適反應(yīng)的發(fā)生率明顯低于常規(guī)胃鏡檢査組,兩者冇顯著性差界(P<0.01);96%的無痛紐患者愿意再次接受胃鏡檢查,較常規(guī)組(22.0%)冇顯著性差異(P<0.01)。兩組檢查前或麻醉前HR、SBP、DBP、SpO/均正常,無痛組檢查中、檢查后上述指標(biāo)同檢查前比較無顯若性差異(P>0.05),常規(guī)組檢查中HR、SBP、DBP升高,與檢查前差異有顯苦意義(P<0.05),檢查中兩組HR、SBIDBP比較,差異有顯著意義(P〈0.05)。結(jié)論無痛胃鏡檢查是一種安全、有效的檢查方法。【關(guān)鍵詞】鬥鏡檢查;丙泊酚;麻醉Clinicalstudyonpainlessgastroscopyin10
4、00patients[Abstract]ObjectiveToinvestigatethesuperiorityandsafetyofpainlessgastroscopy.Methods1000paticntsinpainlcssgastroscopygroupweretideatedwithpropofo1.Controlgroupcomprised1000normalgastroscopysubjects?Procedurerelatedparameters,suchascougheindanginawereprospectivelyassessed.Vitalsigns(he
5、artrate,bloodpressureandoxygensaturation)werecontinuouslymonitoredinal1patients.RESULTSTheincideneerateofcoughandanginainpainlessgastroscopygroupweresignificantlowerthanthoseincontrolgroup(P<0.01).96%patientsinpainlessgastroscopygroupcompareswith22%paticntsincontrolgroupcanacceptthesameoperatio
6、nagain(P〈0?01)?Heartrate,bloodpressureandoxygensaturationwerenorma1beforetheprocedureinal1patier)ts?Thevitalsignshadnosignificantchangedurir)gtheprocedure,afteritorbeforeitinpainlessgastroscopygroup?Heartrate,diastolicpressureandoxygensaturationincreasedsignificantduringtheprocedurethcinbeforei
7、tinnormalgtislroscopygroup(P〈0?05)?lletirtrate,diastolicpressureandsystolicpressureweresignificantdifferentduringtheprocedurebetweentwogroups(P<0.05).ConclusionPainlessgastroscopyissafeandeffective?[Keywords】painlessgastroscopy;Pr