中国医药
中國醫藥
중국의약
CHINA MEDICINE
2015年
5期
658-660
,共3页
谢冬玲%刘冬玲%蔡勇%王辉%李家新%于久飞
謝鼕玲%劉鼕玲%蔡勇%王輝%李傢新%于久飛
사동령%류동령%채용%왕휘%리가신%우구비
高血压%无痛胃镜%无痛结肠镜%地佐辛%丙泊酚
高血壓%無痛胃鏡%無痛結腸鏡%地佐辛%丙泊酚
고혈압%무통위경%무통결장경%지좌신%병박분
Hypertension%Painless gastroscopy%Painless colonoscopy%Dezocine%Propofol
目的 探讨无痛胃镜、结肠镜联合检查用于高血压患者的安全性.方法 纳入2012年1月至2014年7月于民航总医院接受胃镜、结肠镜联合检查的高血压患者160例,完全随机分为对照组和研究组,各80例.对照组接受普通胃镜、结肠镜检查;研究组于地佐辛联合丙泊酚麻醉下接受无痛胃镜、结肠镜联合检查观察2组检查前后血压、心率、脉搏血氧饱和度(SpO2)的变化,比较2组检查时间差异,并观察和评估检查过程中和检查结束后2组患者不良反应、疼痛视觉模拟量表(VAS)评分及患者满意率.结果 2组患者均顺利完成检查.研究组检查过程中收缩压、舒张压、心率、SpO2与检查前比较,差异均无统计学意义[(142±10) mmHg(1 mmHg=0.133 kPa)比(150±15) mmHg,(89±10) mmHg比(90±9)mmHg,(75±8)次/min比(79±10)次/min,(96.2±1.6)％比(98.1±1.5)％;均P＞0.05];对照组检查过程中收缩压和心率明显高于检查前[(159±11)mmHg比(147±15) mmHg,(97±15)次/min比(77±9)次/min;p＜0.05] 研究组胃镜和结肠镜检查时间均明显短于对照组,差异有统计学意义[(7.9±3.1)min比(11.1±2.6)min,(4.9 ±0.5)min比(9.1 ±1.7)min;均P＜0.05].研究组在检查过程中呛咳、恶心和呕吐发生率低于对照组[13.8％(11/80)比47.5％(38/80),6.3％(5/80)比51.3％(41/80)],术后VAS评分低于对照组[(2.3±0.7)分比(3.1±0.9)分],患者满意率高于对照组[97.5％(78/80)比76.3％ (61/80)],差异均有统计学意义(均P＜0.05).结论 高血压患者行无痛胃镜、结肠镜联合检查安全,效果好.
目的 探討無痛胃鏡、結腸鏡聯閤檢查用于高血壓患者的安全性.方法 納入2012年1月至2014年7月于民航總醫院接受胃鏡、結腸鏡聯閤檢查的高血壓患者160例,完全隨機分為對照組和研究組,各80例.對照組接受普通胃鏡、結腸鏡檢查;研究組于地佐辛聯閤丙泊酚痳醉下接受無痛胃鏡、結腸鏡聯閤檢查觀察2組檢查前後血壓、心率、脈搏血氧飽和度(SpO2)的變化,比較2組檢查時間差異,併觀察和評估檢查過程中和檢查結束後2組患者不良反應、疼痛視覺模擬量錶(VAS)評分及患者滿意率.結果 2組患者均順利完成檢查.研究組檢查過程中收縮壓、舒張壓、心率、SpO2與檢查前比較,差異均無統計學意義[(142±10) mmHg(1 mmHg=0.133 kPa)比(150±15) mmHg,(89±10) mmHg比(90±9)mmHg,(75±8)次/min比(79±10)次/min,(96.2±1.6)％比(98.1±1.5)％;均P＞0.05];對照組檢查過程中收縮壓和心率明顯高于檢查前[(159±11)mmHg比(147±15) mmHg,(97±15)次/min比(77±9)次/min;p＜0.05] 研究組胃鏡和結腸鏡檢查時間均明顯短于對照組,差異有統計學意義[(7.9±3.1)min比(11.1±2.6)min,(4.9 ±0.5)min比(9.1 ±1.7)min;均P＜0.05].研究組在檢查過程中嗆咳、噁心和嘔吐髮生率低于對照組[13.8％(11/80)比47.5％(38/80),6.3％(5/80)比51.3％(41/80)],術後VAS評分低于對照組[(2.3±0.7)分比(3.1±0.9)分],患者滿意率高于對照組[97.5％(78/80)比76.3％ (61/80)],差異均有統計學意義(均P＜0.05).結論 高血壓患者行無痛胃鏡、結腸鏡聯閤檢查安全,效果好.
목적 탐토무통위경、결장경연합검사용우고혈압환자적안전성.방법 납입2012년1월지2014년7월우민항총의원접수위경、결장경연합검사적고혈압환자160례,완전수궤분위대조조화연구조,각80례.대조조접수보통위경、결장경검사;연구조우지좌신연합병박분마취하접수무통위경、결장경연합검사관찰2조검사전후혈압、심솔、맥박혈양포화도(SpO2)적변화,비교2조검사시간차이,병관찰화평고검사과정중화검사결속후2조환자불량반응、동통시각모의량표(VAS)평분급환자만의솔.결과 2조환자균순리완성검사.연구조검사과정중수축압、서장압、심솔、SpO2여검사전비교,차이균무통계학의의[(142±10) mmHg(1 mmHg=0.133 kPa)비(150±15) mmHg,(89±10) mmHg비(90±9)mmHg,(75±8)차/min비(79±10)차/min,(96.2±1.6)％비(98.1±1.5)％;균P＞0.05];대조조검사과정중수축압화심솔명현고우검사전[(159±11)mmHg비(147±15) mmHg,(97±15)차/min비(77±9)차/min;p＜0.05] 연구조위경화결장경검사시간균명현단우대조조,차이유통계학의의[(7.9±3.1)min비(11.1±2.6)min,(4.9 ±0.5)min비(9.1 ±1.7)min;균P＜0.05].연구조재검사과정중창해、악심화구토발생솔저우대조조[13.8％(11/80)비47.5％(38/80),6.3％(5/80)비51.3％(41/80)],술후VAS평분저우대조조[(2.3±0.7)분비(3.1±0.9)분],환자만의솔고우대조조[97.5％(78/80)비76.3％ (61/80)],차이균유통계학의의(균P＜0.05).결론 고혈압환자행무통위경、결장경연합검사안전,효과호.
Objective To investigate the safety of painless gastroscopy-colonoscopy examination in the hypertension patients.Methods Totally 160 hypertension patients from January 2012 to July 2014 were divided into study group (80 cases) receiving painless gastroscopy-colonoscopy combined examination under anaesthesia with dezocine and propofol,and control group (80 cases) receiving common gastroscopy-colonoscopy.The changes of blood pressure,heart rate (HR) and peripheral oxygen saturation (SpO2) during and after gastroscopy-colonoscopy were observed;the examination time and visual analog scales (VAS) after examination and side effects were compared between the two groups.Results The patients in both the two groups successfully completed the inspection.During the gastroscopy-colonoscopy,no statistical changes of systolic pressure,diastolic pressure,HR and SpO2 were observed in study group [(142 ± 10) mmHg vs (150 ± 15) mmHg,(89 ± 10) mmHg vs (90 ± 9) mmHg,(75 ± 8) times/min vs (79 ± 10) times/min,(96.2 ± 1.6) ％ vs (98.1 ± 1.5) ％,all P ＞ 0.05];while the systolic pressure and HR were obviously increased in control group [(159 ± 11) mmHg vs (147 ± 15) mmHg,(97 ± 15) times/min vs (77 ± 9) times/min,both P ＜ 0.05].The time of gastroscopy and colonosropy was both shorter in study group compared with that in control group [(7.9 ±3.1) min vs (11.1 ±2.6) min,(4.9 ± 0.5) min vs (9.1 ± 1.7) min,both P ＜ 0.05].The incidence of bucking,the incidence of nausea and vomiting,the VAS score were lower,and the satisfaction rate of patients was higher in study group than those in control group [13.8 (11/80) vs 47.5 (38/80),6.3 (5/80) vs 51.3 (41/80),(2.3 ±0.7) scores vs (3.1 ± 0.9) scores,97.5 (78/80) vs 76.3 ％ (61/80)] (all P ＜ 0.05).Conclusion Painless gastroscopy-colonoscopy examination is safe and effective in hypertensive patients.
