镇静镇痛胃镜与普通胃镜在临床检查中的应用效果比较

Comparison of clinical effect of sedation and analgesia gastroscope and general gastroscope in clinical examination

摘要:

目的 通过比较镇静镇痛胃镜与普通胃镜在临床检查中的应用效果，探讨镇静镇痛胃镜的安全性、耐受性和受检者的可接受程度。方法 选取2019年5月－2019年8月在该院行上消化道癌筛查的人群作为研究对象，根据受检者意愿选择胃镜检查方式，分为镇静镇痛胃镜组和普通胃镜组。比较两组受检者检查前后相关体征变化，分析镇静镇痛胃镜的应用效果。结果 镇静镇痛胃镜组检查前后收缩压、心率和血氧饱和度比较，差异均有统计学意义（P <0.05）；普通胃镜组检查前后收缩压和心率比较，差异均有统计学意义（P <0.05）；两组受检者检查前血压、心率和血氧饱和度比较，差异均无统计学意义（P >0.05）；镇静镇痛胃镜组检查后收缩压和心率低于普通胃镜组，两组比较，差异均有统计学意义（P <0.05）；镇静镇痛胃镜组不良反应发生率（呛咳、流涎、躁动、恶心呕吐和咽喉痛）较普通胃镜组低，耐受程度及满意度明显优于普通胃镜组，对检查过程的遗忘比例明显高于普通胃镜组，两组比较，差异均有统计学意义（P <0.05）；镇静镇痛胃镜组阳性病变检出率明显高于普通胃镜组，两组比较，差异有统计学意义（2.98%和0.47%，??²=4.42，P =0.036）。结论 受检者更易耐受镇静镇痛胃镜检查方式，该方式不良反应发生率低，阳性病变检出率高，有利于对患者相关病变的检查，受检者对检查的满意度和可接受程度较高。

Abstract:

Objective To discuss the safety tolerance of the sedation and analgesia gastroscope and the acceptability of the subject by comparing the application effect of sedation and analgesia gastroscope and general gastroscope in clinical examination.Methods The patients who participated in the screening of upper gastrointestinal from May 2019 to August 2019 were selected as the research object, and the gastroscopy method was selected according to the willingness of the subjects. Then compare the changes of relevant signs before and after examination between the two groups, and analyze the application effect of sedation and analgesia gastroscopy.Results The difference in systolic blood pressure, heart rate and blood oxygen saturation before and after examination in sedation and analgesia gastroscopy group was statistically significant (P < 0.05); The difference between the systolic blood pressure and heart rate before and after examination in general gastroscopy group was statistically significant (P < 0.05); There was no statistically significant difference in blood pressure, heart rate and blood oxygen saturation before examination between the two groups (P > 0.05); The systolic blood pressure and heart rate in the sedation and analgesia gastroscopy group were lower than those in general gastroscopy group, and the difference was statistically significant (P < 0.05); The incidence of adverse reactions (cough, salivation, restlessness, nausea and vomiting, sore throat) in sedation and analgesia gastroscopy group was lower than that of general gastroscopy group (P < 0.05). The tolerance degree and satisfaction in sedation and analgesia gastroscopy group were significantly better than general gastroscopy group (P < 0.05); The sedation and analgesia gastroscopy group had a significantly higher rate of forgetting the examination process than the general gastroscopy group(P < 0.05); The difference in the detection rate of positive lesions between the two groups was statistically significant(2.98% vs 0.47%, χ² = 4.42, P = 0.036).Conclusion The sedation and analgesia gastroscopy method the subject is more tolerable, and the incidence of adverse reactions is low, the detection rate of positive lesions is high, which is more conducive to the examination of patient-related lesions, and the subject's satisfaction and acceptance of the examination are higher.