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目的探讨超细胃镜经不同入口插入检查对消化内科疾病患者的影响。方法选择2013年10月至2015年3月河南大学第一附属医院消化内科就诊的60例患者,随机分为两组,每组30例。观察组行经鼻超细胃镜检查,对照组行经口超细胃镜检查。观察两组检查过程中不良反应及心率(HR)、舒张压(DBP)、收缩压(SBP)及血氧饱和度(Sp O2)等。结果观察组检查中发生恶心呕吐、呛咳及焦虑紧张情绪的患者例数显著少于对照组,差异具有统计学意义(P<0.05),两组患者检查前与检查中HR、DBP、SBP、Sp O2比较,差异无统计学意义(P>0.05)。结论经鼻和经口两种超细胃镜检查方法对消化内科患者血流动力学均无显著影响,安全性高。与经口超细胃镜检查相比,经鼻超细胃镜检查中,患者不良反应和焦虑情绪少、适用范围更广。
Objective To investigate the effect of ultrafine endoscopy on patients with digestive diseases through different entrances. Methods Sixty patients admitted to the First Affiliated Hospital of Henan University from October 2013 to March 2015 were randomly divided into two groups of 30 patients. The observation group underwent nasal ultrafine gastroscopy, while the control group underwent ultrafine gastroscopy. Adverse reactions and heart rate (HR), diastolic blood pressure (DBP), systolic blood pressure (SBP) and oxygen saturation (Sp O2) were observed during the two groups. Results The number of patients with nausea and vomiting, choking and anxiety in the observation group was significantly less than that of the control group (P <0.05). The levels of HR, DBP, SBP, Sp O2, the difference was not statistically significant (P> 0.05). Conclusion Both nasal and oral ultralow gastroscopy have no significant effect on the hemodynamics of patients with gastroenterology and are safe. Compared with the oral ultra-small gastroscopy, nasal ultrafine gastroscopy, patients with less adverse reactions and anxiety, the scope of application is broader.