章建清

[摘要] 目的 探討无痛胃肠镜应用在消化道疾病中的安全性。方法 方便搜集该院内科2016年11月—2017年12月诊治的156例消化道疾病患者，按照自愿原则分为两组，观察组给予无痛胃肠镜诊疗，常规组给予常规胃肠镜诊疗，对比最终的诊疗效果。 结果 ①对比两组诊疗优良率，观察组97.50%与常规组88.16%相比，差异有统计学意义（χ2=5.19，P<0.05）；②对比两组患者的诊疗满意度，观察组93.75%与常规组78.95%相比，差异有统计学意义（χ2=7.33，P<0.05）；③胃肠镜检查后，两组患者的HR、收缩压、舒张压及SpO2生命体征均出现显著变化，且观察组患者的各项生命体征（87.33±5.02）次/min、（119.31±10.07）mmHg、（66.37±4.29）mmHg、（96.89±1.04）%均显著优于常规组（76.26±5.68）次/min、（114.16±10.34）mmHg、（69.77±4.53）mmHg、（98.56±1.20）%，组间差异有统计学意义（t=5.29、5.07、3.25、3.05，P<0.05）；④对比两组患者恶心呕吐、心动过缓、体动、呼吸抑制等不良反应发生情况，观察组11.25%与常规组25.00%相比，差异有统计学意义（χ2=5.00，P<0.05）。结论 消化道疾病采用无痛胃肠镜诊疗可以极大地提高诊疗效果，改善病患的各项生命特征，降低病患痛苦增加满意度，降低不良反应的发生，临床应用价值高。

[关键词] 无痛胃肠镜；消化道；疾病；安全性

[中图分类号] R571 [文献标识码] A [文章编号] 1674-0742（2018）05（a）-0091-03

Analysis of Safety and Application Value of Painless Gastroenteroscopy in the Diagnosis and Treatment of Digestive Tract Diseases

ZHANG Jian-qing

Digestive System Department， Putian Civilian Hospital， Putian， Fujian Province， 351115 China

[Abstract] Objective To explore the safety of painless gastroenteroscopy in digestive tract diseases. Methods 156 cases with gastrointestinal tract disease patients diagnosed and treated in our hospital from November 2016 to December 2017 were convenient collected and divided into two groups according to the voluntary principle， the observation group and the routine group were respectively treated with painless gastroenteroscopy and routine gastroenteroscopy， and the final diagnosis and treatment results were compared between the two groups. Results The excellent and good rate of diagnosis and treatment in the observation group and in the routine group was respectively 97.50% and 88.16%， and the difference was obvious，（χ2=5.19， P<0.05） ， and the diagnosis and treatment satisfactory degree in the observation group and in the routine group was respectively 93.75% and 78.95%， and the difference was obvious （χ2=7.33， P<0.05） ，and the HR， systolic pressure， diastolic pressure and SpO2 vital signs of the two groups after the gastroenteroscopic examination obviously changed， and various vital signs in the observation group were obviously better than those in the routine group[（87.33±5.02）times/min，（119.31±10.07） mm/Hg，（66.37±4.29）mmHg（96.89±1.04） % vs （76.26±5.68）times/min，（114.16±10.34）mmHg，（69.77±4.53）mmHg，（98.56±1.20） %]， and the differences were obvious（t=5.29， 5.07， 3.25， 3.05， P<0.05）， and the incidence rate of adverse reactions such as vomiting and nausea， respiration suppression in the observation group and in the routine group was respectively 11.25% and 25.00%， and the difference was obvious （χ2=5.00， P<0.05）. Conclusion Painless gastroenteroscopy can greatly improve the diagnosis and treatment effect of digestive tract disease and improve various vital signs of patients， reduce the pain satisfaction， and the occurrence of adverse reactions， with the high clinical application value.

[Key words] Painless gastroenteroscope； Digestive tract； Disease； Safety

近幾年，随着人们生活节奏的加快和工作压力的加大，消化道疾病的发病率成逐年攀升的态势，严重威胁着人们的健康和生活质量[1]。胃肠镜检查是诊疗消化道疾病的主要方式，但是由于该检查带有很强的刺激性，容易造成患者不同程度的不良反应，使得患者对该检查产生恐惧心理。随着医疗水平的提高，无痛胃肠镜检查开始逐步取代常规的胃肠镜检查，通过注射一定剂量的镇静剂让患者短时间处于睡眠状态，待诊治结束后患者能迅速清醒过来，降低了患者的恐惧心理和不良反应的发生率，得到了人们的高度好评[2]。该文采用该院内科2016年11月—2017年12月诊治的156例消化道疾病患者进行研究，现报道如下。

1 资料与方法

1.1 一般资料

方便搜集该院内科诊治的156例消化道疾病患者，该研究已经伦理学委员会批准，患者均知情同意。按照自愿原则分为两组，观察组80例，平均年龄：（46.21±2.24）岁，年龄范围：25～71岁；男性44例，女性36例；平均病程：（4.79±1.02）周，病程：1～12周。常规组76例，平均年龄：（45.72±2.35）岁，年龄范围：26～70岁；男性39例，女性37例；……