本文選題：無痛胃鏡 + 食道異物　； 參考：《世界最新醫(yī)學(xué)信息文摘》2016年71期

【摘要】：目的:探析無痛胃鏡在食道異物取出術(shù)中的臨床應(yīng)用效果。方法:選取我院2013年1月至2016年1月收治的食道異物患者58例,隨機(jī)分為對(duì)照組和觀察組各29例。對(duì)照組給予常規(guī)胃鏡取出異物,而觀察組則在無痛胃鏡下進(jìn)行食道異物取出術(shù),對(duì)比兩組患者治療中生命體征情況及治療后滿意度、手術(shù)時(shí)間、成功率及不適情況。結(jié)果:采取不同措施治療過程中,無痛胃鏡下實(shí)施異物取出術(shù)的觀察組,其SBP、Sp O2、R、DBP生命指征均顯著好于常規(guī)胃鏡下實(shí)施異物取出術(shù)的對(duì)照組,且發(fā)生膈肌痙攣、嗆咳、惡心嘔吐等不適情況的例數(shù)也顯著低于對(duì)照組,組間比較差異顯著,具有統(tǒng)計(jì)學(xué)意義(P0.05);此外,治療后,觀察組滿意度、手術(shù)時(shí)間等情況均顯著優(yōu)于對(duì)照組,成功率為100%,與對(duì)照組比較差異顯著,具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:對(duì)食道異物患者實(shí)施無痛胃鏡下的食道異物取出術(shù),可降低患者痛苦,維持患者平穩(wěn)的生命體征,提高治療操作的安全性和成功率,且術(shù)后患者滿意度高,值得臨床推廣應(yīng)用。
[Abstract]:Objective: to explore the clinical effect of painless gastroscopy in esophagus foreign body extraction. Methods: from January 2013 to January 2016, 58 patients with foreign body of esophagus were randomly divided into two groups: control group (n = 29) and observation group (n = 29). The control group was given routine gastroscopy to remove foreign body, while the observation group was performed esophagus foreign body removal under painless gastroscopy. The vital signs, satisfaction, operation time, success rate and discomfort were compared between the two groups. Results: in the observation group treated with painless gastroscopy, the life indications of SBPnSpO2O2RNDBP were significantly better than those of the control group under conventional gastroscopy, and the diaphragm spasm and cough occurred. The number of cases of nausea and vomiting was also significantly lower than that of the control group, the difference between the groups was significant (P0.05); in addition, after treatment, the observation group satisfaction, operation time and other conditions were significantly better than the control group. The success rate was 100, significantly different from the control group (P0.05). Conclusion: using painless gastroscopy to remove esophagus foreign body can reduce the pain of patients, maintain the patient's stable vital signs, improve the safety and success rate of the treatment, and the patients' satisfaction is high after operation. It is worth popularizing and applying in clinic.
【作者單位】： 山東省臨沂凱旋醫(yī)院內(nèi)一科;
【分類號(hào)】：R768.32

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