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目的:分析无痛胃镜检查并发症原因,并提出干预对策。方法:选取2014年5月~2016年5月在我院消化内镜室行无痛胃镜检查的3260例患者为研究对象,统计无痛胃镜检查中出现并发症情况,分析并发症产生原因,并制定针对性干预对策。结果:本研究入选3260例患者中,出现低血压、心动过缓、血压饱和度下降、呛咳、呼吸抑制和吸入性肺炎等并发症39例,并发症发生率1.20%,其中血压饱和度下降发生率最高,所占比例46.15%,其次为心动过缓、呛咳,所占比例分别为17.95%和12.82%。结论:在无痛胃镜检查的实际操作中,应注意检查前完善准备工作,检查中加强护理监测,检查后重视观察指导,以最大限度减少并发症的发生。
Objective: To analyze the causes of complications of painless gastroscopy and to propose intervention measures. Methods: From May 2014 to May 2016 in our hospital digestive endoscopy room painless gastroscopy 3260 cases of patients as the object of study, statistics of painless gastroscopy complications occurred, analyze the causes of complications, and Develop targeted interventions. Results: Among 3260 patients, 39 cases were complicated with hypotension, bradycardia, decreased blood pressure saturation, choking, respiratory depression and aspiration pneumonia. The complication rate was 1.20%, of which the blood pressure saturation decreased The highest incidence, the proportion of 46.15%, followed by bradycardia, cough, the proportion was 17.95% and 12.82%. Conclusion: In the actual operation of painless gastroscopy, we should pay attention to improve the preparatory work before the inspection, check to strengthen the nursing surveillance, inspection attention to observe and guide in order to minimize the occurrence of complications.