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目的:调查无痛胃镜与肠镜检查发生并发症的原因以及处理措施。方法:随机在我院选择140例无痛胃镜和肠镜的检查者,在此检查者中有73例检查者给予常规处理,定义为常规组,同时67例检查者在常规组处理措施基础上采取更加积极、有效的措施,定义为处理组。了解检查者出现的头晕、恶心、腹痛腹胀以及遗忘程度等主观现象,并初步提出发生并发症的原因。检查过程中应持续监测检查者的一般生命体征,了解血压、心率和氧饱和度等指标变化,并记录检查者出现的呛咳、心动过缓、呼吸抑制等症状。结果:所有检查者在医护人员的鼓励下均完成胃镜和肠镜的检查,两组检查者的一般生命体征均在给药后发生一定程度的下降,与给药前相比差异显著,具有统计学意义(P<0.05);给药后两组检查者对比差异较小,无统计学意义(P>0.05);检查结束苏醒后两组检查者的生命体征均有恢复,与给药前相比差异无统计学意义(P>0.05)。处理组检查者发生并发症的概率为26.87%,低于常规组43.84%,差异具有统计学意义(P<0.05)。结论:无痛胃镜和肠镜检查应给予更加积极、有效的处理措施,以减少并发症的发生,降低检查风险。
Objective: To investigate the causes and treatment of complications of painless gastroscopy and colonoscopy. Methods: Randomly selected 140 cases of painless gastroscopy and colonoscopy in our hospital, in which 73 of the examiners were given routine treatment, defined as the conventional group, while 67 patients on the basis of routine treatment measures Take more active and effective measures, defined as processing groups. Understand the examiner subtle phenomena such as dizziness, nausea, abdominal distension and forgetfulness, and initially put forward the causes of complications. During the inspection, the examiner should constantly monitor the general vital signs, understand the changes of blood pressure, heart rate and oxygen saturation indicators, and recorded the examiner appears cough, bradycardia, respiratory depression and other symptoms. Results: All examiners completed the examination of gastroscopy and colonoscopy with the encouragement of the medical staff. The general vital signs of the two groups of examiners decreased to some extent after administration, with significant difference compared with that before administration (P <0.05). There was no significant difference between the two groups after administration (P> 0.05). After the end of waking, the vital signs of both groups recovered, The difference was not statistically significant (P> 0.05). The probability of complication in the treatment group was 26.87%, which was lower than that in the conventional group (43.84%), the difference was statistically significant (P <0.05). Conclusion: Painless gastroscopy and colonoscopy should be given more active and effective treatment measures to reduce the incidence of complications and reduce the risk of inspection.