CAJ | 학술논문

目的调查双气囊小肠镜检查中患者的应激反应,探讨可能的影响因素及干预对策.方法以60例双气囊小肠镜检查患者为研究对象,监测检查过程心血管反应,观察记录生理反应,按患者心血管反应程度分为2组,进行相关因素的单因素分析.结果 60例患者生理反应发生率为68.3%,心血管反应发生率56.7%.检查中与检查后、检杳前与检查中患者的血压、心率和血氧饱和度比较均有显著差异.分组分析表明应激反应受多种因素影响.结论双气囊小肠镜检查中患者可发生不同程度的应激反应,其影响因素为检查方式、患者性别、年龄、情绪、检查时间、内镜医生操作经验等,可根据影响因素采取相应干预对策以减轻应激反应.
목적 조사쌍기낭소장경검사중환자적응격반응,탐토가능적영향인소급간예대책.방법 이60례쌍기낭소장경검사환자위연구대상,감측검사과정심혈관반응,관찰기록생리반응,안환자심혈관반응정도분위2조,진행상관인소적단인소분석.결과 60례환자생리반응발생솔위68.3%,심혈관반응발생솔56.7%.검사중여검사후、검묘전여검사중환자적혈압、심솔화혈양포화도비교균유현저차이.분조분석표명응격반응수다충인소영향.결론 쌍기낭소장경검사중환자가발생불동정도적응격반응,기영향인소위검사방식、환자성별、년령、정서、검사시간、내경의생조작경험등,가근거영향인소채취상응간예대책이감경응격반응.
Objective The stress reaction in double-balloon enteroscopy was investigated,the influencing factors and intervention countermeasures were studied.Methods Cardiovascular effects and physiological reactions of 60 double-balloon enteroscopy patients were surveyed.The patients were divided into 2 groups according to the cardiovascular effects to underwent single factor analysis of related factors.Results The incidence of physiological reactions was 68.3%,the incidence of cardiovascular reactions was 56.7%.Evident difference existed in blood pressure,heart rate and blood oxygen saturation rate before,during and after examination.The grouping analysis showed cardiovascular effects were influenced by many kinds of factors.Conclusions Different degrees of the stress reactions in double-balloon enteroscopy might appear.The influencing factors included the enteroscopy mode and time,gender,age,mood,and physician operation experience.The stress reactions might be reduced by taking the corresponding intervention measures according to the influencing factors.