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目的评价麻醉推进式双气囊内镜在小肠疾病诊断中的价值。方法对126例经胃镜、肠镜、小肠钡剂灌肠和血管造影检查未发现异常而疑有小肠疾病患者进行麻醉与非麻醉双气囊内镜(DBE)检查的对比研究。126例患者共进行 DBE 检查151例次,其中经口检查60例,经肛检查41例,经口经肛结合接检查25例。随机分为麻醉组(A 组)79例次,非麻醉组(B 组)72例次。观察并记录患者检查前、中、后血压(SBP、DBP)、心率(HR)、呼吸频率(RR)、血氧饱和度(SpO_2)。结果 A 组患者在操作全过程中无任何不适,满意度达100%,无一例出现并发症。B 组患者多诉恶心、腹痛等不适。A 组与 B 组患者比较检查中 HR、SBP、DBP,差异有统计学意义(P<0.05)。B 组患者比较检查中与检查前 HR、SBP、DBP,差异有统计学意义(P<0.05)。DBE 检查共发现异常96例,检出率为76.2%,其中不明原因消化道出血55例,检出病变46例;不明原因腹痛30例,检出病变22例;慢性腹泻20例,检出病变11例;不完全性肠梗阻21例,检出病变17例。结论麻醉 DBE 检查是一种新型安全有效的小肠疾病检查手段,明显优于传统的检查方法。
Objective To evaluate the value of anesthesia-push dual balloon endoscopy in the diagnosis of small intestine disease. Methods A comparative study of 126 patients undergoing gastroscopy, colonoscopy, small intestine barium enema and angiography in the detection of non-narcotic double balloon endoscopy (DBE) in patients with suspected small intestinal disease was performed. A total of 126 patients underwent DBE examination of 151 cases, of which 60 cases were examined by mouth, 41 cases were examined by anus, and 25 cases were examined by anal sphincter. Randomly divided into anesthesia group (A group) 79 cases, non-anesthetic group (B group) 72 cases. The blood pressure (SBP, DBP), heart rate (HR), respiratory rate (RR) and oxygen saturation (SpO_2) were observed and recorded before and after the operation. Results Patients in group A had no discomfort during the whole operation, with 100% satisfaction rate and no complication occurred. Patients in group B complained of nausea and abdominal pain. There were significant differences in HR, SBP and DBP between group A and group B (P <0.05). The difference of HR, SBP and DBP between group B and group B was statistically significant (P <0.05). DBE examination found a total of 96 cases of abnormalities, the detection rate was 76.2%, of which 55 cases of unknown causes of gastrointestinal bleeding, lesions were detected in 46 cases; unexplained abdominal pain in 30 cases, detected lesions in 22 cases; 20 cases of chronic diarrhea, detected lesions 11 cases; incomplete intestinal obstruction in 21 cases, detected lesions in 17 cases. Conclusion Anesthesia DBE examination is a new safe and effective examination method of small intestine disease, which is obviously superior to the traditional examination methods.