无痛胃肠镜在消化内科疾病临床诊治中的应用价值分析

廖成涛

【摘要】 目的：分析無痛胃肠镜应用于消化内科疾病临床诊治当中的应用价值。方法：回顾性分析笔者所在医院2015年1-12月收治的需行胃肠镜诊疗的64例患者资料，根据操作方式将全部患者分为常规组与无痛组，对比两组患者的操作时间及诊疗后恢复时间，评估诊疗效果，统计不良反应发生率，调查患者对手术过程满意程度。结果：无痛组诊疗操作时间为（5.06±1.24）min，恢复时间为（13.89±2.49）min，常规组诊疗操作时间为（5.89±1.63）min，恢复时间为（35.67±2.74）min，无痛组诊疗操作时间与诊疗后恢复时间均显著短于常规组，差异均有统计学意义（P<0.05）；无痛组总完成率为100%，常规组总完成率为76.92%，无痛组诊疗效果显著优于常规组，差异有统计学意义（P<0.01）；常规组不良反应发生率为53.85%，无痛组不良反应发生率为5.26%，无痛组不良反应发生率显著低于常规组，差异有统计学意义（P<0.01）；无痛组患者总满意率为97.37%，常规组患者总满意率为69.23%，无痛组患者总满意率显著高于常规组，差异有统计学意义（P<0.01）。结论：无痛胃肠镜诊治消化内科疾病，操作成功率高，不良反应率低，患者易于接受，可于消化内科临床推广应用。

【关键词】 无痛胃肠镜； 消化内科； 诊断治疗

doi：10.14033/j.cnki.cfmr.2017.7.002 文献标识码 A 文章编号 1674-6805（2017）07-0003-03

【Abstract】 Objective：To analyze the application value of painless gastrointestinal endoscopy used in clinical diagnosis and treatment of digestive disease.Method：64 cases of patients were analyzed retrospectively in the authors hospital from January to December 2015 underwent gastrointestinal endoscopy，according to the operation mode of all patients were divided into routine group and painless group.Operation time and recovery time of two groups after treatment were compared， the effect and adverse reaction rate statistics was evaluated， surgical satisfaction was investigated.Result：The diagnosis and treatment operation time of painless group was （5.06±1.24）min，the recovery time was （13.89±2.49）min，the conventional treatment operation time of routine group was （5.89±1.63）min，the recovery time was （35.67±2.74）min， the treatment operation time and recovery time of painless group were significantly shorter than the control group，the difference was statistically significant（P<0.05）.The total completion rate of painless group was 100%，the routine group was 76.92%，the difference was statistically significant（P<0.01）.The incidence of adverse reaction of routine group was 53.85%，the painless group was 5.26%，the difference was statistically significant（P<0.01）.The satisfaction rate of painless group was 97.37%，the routine group was 69.23%， the difference was statistically significant（P<0.01）.Conclusion：Painless gastrointestinal endoscopy in the diagnosis and treatment of digestive diseases，operation success rate is high，the adverse reaction rate is low，the patients are easy to accept，can be applied in the clinical application of digestive medicine.

【Key words】 Painless gastrointestinal endoscopy； Digestive internal medicine； Diagnosis and treatment

First-authors address：Traditional Chinese Hospital of Anyue County，Anyue 642350，China

胃肠镜是消化内科诊断治疗相关疾病的一种常用方法，临床应用广泛[1-3]。由于胃肠镜属于入侵式操作，可给患者造成一定程度的不适及痛苦，患者接受度低，甚至无法完成检查，从而延误了最理想的诊疗时机，增加了漏诊与误诊的概率。无痛胃肠镜技术完美地解决患者无法配合的问题，患者接受度高。随着临床应用的日益广泛无痛胃肠镜技术目前已经成为消化内科临床诊治的首选方法。为客观评估无痛胃肠镜在消化内科临床诊治中的应用效果，笔者所在医院对64例行胃肠镜诊治的患者进行了回顾性分析，现将具体情况总结如下。

1 资料与方法

1.1 一般资料

回顾性分析笔者所在医院2015年1-12月收治的需行胃肠镜诊疗的64例患者资料，根据操作方式将全部患者分为常规组与无痛组。……