CAJ | 학술논문

目的：对比观察无痛胃镜治疗不同年龄段上消化道异物的效果与优势。方法150例上消化道异物患者划分为5～14岁、15～60岁以及大于60岁年龄段各50例，每个年龄段患者再分为无痛组及普通组各25例。无痛组联合给予瑞芬太尼与异丙酚静脉麻醉后于胃镜直视下用异物钳等各种工具进行治疗；对照组仅于常规胃镜下治疗。记录并对比各年龄段无痛组与普通组治疗前、中、后的平均动脉压（MAP）、心率、血氧饱和度（SpO2）以及治疗中不良反应发生率、治疗时间及治疗效果。结果治疗中不同年龄段患者无痛组的MAP、心率均低于相应普通组（P＜0.05），但仍在正常范围内；而治疗后则恢复至与普通组无差异（P＞0.05）；不同年龄段的无痛组治疗时间、不良反应和成功率均优于相应的普通组（P＜0.05）。未发生严重并发症。结论无痛胃镜治疗上消化道异物较普通胃镜治疗时间短、不良反应发生率低，且成功率高，对不同年龄段的患者均具较好疗效。
목적：대비관찰무통위경치료불동년령단상소화도이물적효과여우세。방법150례상소화도이물환자화분위5～14세、15～60세이급대우60세년령단각50례，매개년령단환자재분위무통조급보통조각25례。무통조연합급여서분태니여이병분정맥마취후우위경직시하용이물겸등각충공구진행치료；대조조부우상규위경하치료。기록병대비각년령단무통조여보통조치료전、중、후적평균동맥압（MAP）、심솔、혈양포화도（SpO2）이급치료중불량반응발생솔、치료시간급치료효과。결과치료중불동년령단환자무통조적MAP、심솔균저우상응보통조（P＜0.05），단잉재정상범위내；이치료후칙회복지여보통조무차이（P＞0.05）；불동년령단적무통조치료시간、불량반응화성공솔균우우상응적보통조（P＜0.05）。미발생엄중병발증。결론무통위경치료상소화도이물교보통위경치료시간단、불량반응발생솔저，차성공솔고，대불동년령단적환자균구교호료효。
Objective To study the effect and advantage of painless gastroscope in the treatment of gastrointestinal foreign bodies in patients of different ages. Methods One hundred and fifty patients with up-per gastrointestinal foreign bodies were recruited and divided into group A (5 ~14 years,n=50),group B (15 ~60 years,n=50)and group C (more than 60 years,n=50). And each group was further divided into painless group (n =25 ) and normal group (n =25 ). Patients in painless group were anesthetized with remifentanil and propofol intravenously and then foreign bodies were removed with retrieval devices under gas-troscope. Patients in normal group were only treated under conventional gastroscope. The mean arterial pressure (MAP),heart rate (HR),oxygen saturation (SpO2 ),adverse reactions,duration of treatment and the thera-peutic effect were recorded. Results During treatment,MAP and HR in each painless group were significantly lower than that of corresponding normal group (P<0.05 ),but still within the normal range,and they in-creased to the same level as the normal group after treatment (P>0.05 ). The adverse reactions,duration of treatment and the treatment success rate of painless groups were better than those of the corresponding normal groups (P<0.05 ). No serious complications occurred. Conclusion Painless gastroscope demonstrates more advantage over normal gastroscope in the treatment of patients with gastrointestinal foreign bodies,which will help improve the treatment effect in patients of different ages.