CAJ | 학술논문

目的：探讨无痛胃镜与常规胃镜检查的安全性及有效性。方法将2014年3~7月在本院胃镜室进行检查的80例患者随机分为两组，每组各40例，常规组采用传统胃镜检查，无痛组采用无痛胃镜检查，比较两组患者检查各阶段的血压、血氧饱和度、心率的变化和胃镜操作时间以及患者满意度。结果两组患者均完成胃镜检查，无痛组患者一次完成率为100%，显著高于对照组的95%，差异有统计学意义(P<0.05)；无痛组患者的操作时间及患者满意度均显著优于常规组，差异有统计学意义(P<0.05)；无痛组患者的血压、心率、血氧饱和度在检查前、中、后进行比较无明显波动，差异无统计学意义(P>0.05)；常规组患者的血氧饱和度在检查前、中、后比较无明显波动，差异无统计学意义(P>0.05)，而血压、心率在检查前、中、后比较显示波动明显，差异有统计学意义(P<0.05)。结论无痛胃镜具有痛苦小、耐受性好、不良反应少、操作时间相对较短的优点，有利于检查和治疗的顺利进行，明显增加了操作的成功性及准确性，其安全性、有效性更高，值得临床推广应用。
목적：탐토무통위경여상규위경검사적안전성급유효성。방법장2014년3~7월재본원위경실진행검사적80례환자수궤분위량조，매조각40례，상규조채용전통위경검사，무통조채용무통위경검사，비교량조환자검사각계단적혈압、혈양포화도、심솔적변화화위경조작시간이급환자만의도。결과량조환자균완성위경검사，무통조환자일차완성솔위100%，현저고우대조조적95%，차이유통계학의의(P<0.05)；무통조환자적조작시간급환자만의도균현저우우상규조，차이유통계학의의(P<0.05)；무통조환자적혈압、심솔、혈양포화도재검사전、중、후진행비교무명현파동，차이무통계학의의(P>0.05)；상규조환자적혈양포화도재검사전、중、후비교무명현파동，차이무통계학의의(P>0.05)，이혈압、심솔재검사전、중、후비교현시파동명현，차이유통계학의의(P<0.05)。결론무통위경구유통고소、내수성호、불량반응소、조작시간상대교단적우점，유리우검사화치료적순리진행，명현증가료조작적성공성급준학성，기안전성、유효성경고，치득림상추엄응용。
Objective To explore the analysis on safety and effectiveness of painless gastroscopy and conventional gastroscopy. Methods 80 patients upper chamber for inspection in our hospital from March 2014 to July 2014 were di-vided into two groups,each group had 40 cases.Conventional group used the traditional endoscopy,painless group used painless gastroscopy,the blood pressure,oxygen saturation,heart rate and endoscopy operating time and patient satisfac-tion in two groups of subjects in various stages of examination were conmpared. Results All patients were completed the endoscopy,the once a completion rate in painless group was 100%,significantly higher than that the 95%in conven-tional group,the difference was statistically significant (P<0.05),the operating time and patient satisfaction in painless group were significantly better than those of the conventional group,the difference was statistically significant (P<0.05). The blood pressure,heart rate,oxygen saturation in painless group,before the test,during and after had no significant fluc-tuations,the difference was not statistically significant (P>0.05),while the conventional group only oxygen saturation tar-gets before the test,during and after had no significant fluctuations,the difference was not statistically significant (P>0.05).while blood pressure,heart rate checked before,during and after showed fluctuations obvious,the difference was statistically significance (P<0.05). Conclusion Painless gastroscope have less pain,well tolerated,adverse reactions,rela-tively short operation time,and operation is relatively simple,is advantageous to the examination and treatment,signifi-cantly increase the success of operation and accuracy,and its security,effectiveness is higher,it is worthy of clinical popular-ization and application.