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目的研究胃肠镜在诊断和治疗消化内科疾病时无痛胃肠镜技术的优势,为临床运用提供指导。方法选择2012年1月至2013年6月漯河市第三人民医院使用胃肠镜检查和治疗的消化内科患者264例,随机分为两组各132例,对于观察组采用无痛胃肠镜技术进行检查和治疗,对照组采用传统的常规胃肠镜技术,对于两组患者在治疗前后的血压与血氧饱和度以及心率情况,并结合患者的治疗反应进行分析。结果观察组患者出现恶心呕吐、咳嗽和躁动以及有无放弃检查或者治疗的患者与对照组患者进行对比,具有统计学意义(P<0.05)。对照组患者检查中的DBP、SBP和HR指标均比检查前出现明显的升高(P<0.05);但观察组患者在检查前与检查中的三项上述指标对比,不存在统计学意义(P>0.05)。结论无痛胃肠镜和常规胃肠镜相比,具有安全性高、治疗确切的特点,患者的痛苦较小,且排斥心理减弱。
Objective To study the advantage of gastrointestinal endoscopy in the diagnosis and treatment of digestive diseases, and provide guidance for clinical application. Methods From January 2012 to June 2013, 264 patients with digestive diseases underwent gastrointestinal endoscopic examination and treatment in Third People’s Hospital of Luohe City were randomly divided into two groups of 132 patients. The patients in observation group were treated with painless gastrointestinal endoscopy The patients in the control group were treated with the conventional routine gastrointestinal endoscopy. The blood pressure, oxygen saturation and heart rate of the two groups before and after treatment were analyzed, and the treatment response was analyzed. Results The observation group patients with nausea and vomiting, cough and agitation, and whether to give up the examination or treatment of patients compared with the control group patients, with statistical significance (P <0.05). The DBP, SBP and HR indexes in the control group were significantly higher than those before the test (P <0.05), but there was no significant difference between the three groups in the observation group P> 0.05). Conclusion Painless gastrointestinal endoscopy compared with conventional gastrointestinal mirror, with high safety, the exact treatment of the characteristics of patients with less pain, and rejection psychology weakened.