无痛胃镜与普通胃镜治疗上消化道异物的临床效果

贾明旭

摘  要：目的  探討在上消化道异物治疗中采用无痛胃镜与普通胃镜产生的临床效果差异。方法  选取2018年1月～2020年10月内蒙古自治区人民医院收治的100例上消化道异物患者，在随机信封分组法下分成对照组和观察组，每组50例。对照组给予普通胃镜治疗，观察组给予无痛胃镜治疗。比较两组治疗前后平均动脉压（MAP）、心率（HR）及血氧饱和度（SpO2）水平差异，分析两组术中不良反应发生率及异物取出成功率。结果  治疗前，两组MAP、HR及SpO2水平比较，差异无统计学意义（P>0.05）;治疗后，观察组MAP、HR指标水平低于对照组，差异均有统计学意义（P<0.05）;两组SpO2水平比较，差异无统计学意义（P>0.05）。观察组与对照组相比，术中不良反应发生率更低，异物取出成功率更高，差异均有统计学意义（P<0.05）。结论  在上消化道异物治疗中使用无痛胃镜治疗对改善各项指标水平，提升异物取出成功率，降低不良反应发生率较普通胃镜治疗效果更高。

关键词：上消化道异物;无痛胃镜;普通胃镜;治疗效果

中图分类号：R649.4    文献标识码：A    文章编号：1009-8011（2021）-11-0001-03

Clinical efficacy of painless gastroscopy and general gastroscopy in the treatment of upper gastrointestinal foreign bodies

JIA Ming-xu

（Inner Mongolia Autonomous Region People's Hospital Endoscope， Inner Mongolia Hohhot， 010020， China）

Abstract： Objective  To investigate the difference of clinical efficacy between painless gastroscopy and ordinary gastroscopy in the treatment of foreign body in upper gastrointestinal tract. Methods  From January 2018 to October 2020 as the study period， 100 cases of patients with upper gastrointestinal foreign body in our hospital were selected for the study. Under the random envelope grouping method， all patients were divided into control group and experimental group. The control group was given ordinary gastroscopy， and the experimental group was given painless gastroscopy. The mean arterial pressure（map）， heart rate（HR） and blood oxygen saturation（SpO2） were compared between the two groups before and after treatment. The incidence of adverse reactions and the success rate of foreign body removal were analyzed. Results  Before treatment， there was no significant difference in map， HR and SpO2 levels between the two groups（P>0.05）; after treatment， the levels of map and HR in the experimental group were significantly lower than those in the control group（P<0.05）， but there was no significant difference in SpO2 levels between the two groups（P>0.05）. Compared with the control group， the incidence of adverse reactions in the experimental group was lower， and the success rate of foreign body removal was higher， the difference was statistically significant（P<0.05）. Conclusion  Painless gastroscopy in the treatment of upper gastrointestinal foreign body can improve the level of various indicators， improve the success rate of foreign body removal and reduce the incidence of adverse reactions. Compared with ordinary gastroscopy， painless gastroscopy has a certain clinical application value.

Keywords： Upper gastrointestinal foreign body; Painless gastroscopy; Ordinary gastroscope; Treatment; Curative effect

上消化道异物是指不小心将异物吞入上消化道，如食管、胃及十二指肠。异物长时间留滞在上消化道内可能引起梗阻、消化道黏膜损伤，甚至引起出血及穿孔等并发症[1]。普通胃镜是治疗上消化道异物主要手段，但是产生创伤较大，不利于后期恢复。随着无痛技术的发展，研究发现无痛胃镜具有风险小，安全性高等特点[2]。为此，本文选取100例上消化道异物患者进行研究，对无痛胃镜和普通胃镜产生的临床疗效进行分析，内容如下所示。

1  资料与方法

1.1  一般资料

选取2018年1月～2020年10月内蒙古自治区人民医院收治的100例上消化道异物患者，在随机信封分组法下分成对照组和观察组，每组50例。观察……