中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
14期
24-25
,共2页
无痛胃镜%常规胃镜%治疗效果
無痛胃鏡%常規胃鏡%治療效果
무통위경%상규위경%치료효과
Painless gastroscopy%Routine gastroscopy%Treatment effect
目的：探讨无痛胃镜下治疗食管静脉曲张的临床疗效。方法：2012年9月-2014年9月收治食管静脉曲张患者72例，将其随机分为观察组与对照组，对照组(n=36)予以常规胃镜在清醒状态进行套扎治疗，观察组(n=36)予以无痛胃镜在麻醉状态进行套扎治疗，观察两组患者的治疗效果。结果：观察组治疗总有效率97.2%，明显高于对照组83.3%，差异具有统计学意义(χ2=4.546，P＜0.05)；观察组总满意度100%，明显高于对照组的47.2%，差异具有统计学意义(χ2=23.166，P＜0.05)；观察组呛咳、流涎、恶心呕吐等不良反应的发生率分别为2.8%、5.6%、8.3%，明显低于对照组的69.4%、77.8%、50.0%，差异具有统计学意义(χ2a=31.846，χ2b=35.714，χ2c=13.177，P均＜0.05)。结论：采用无痛胃镜下治疗食管静脉曲张视野清晰，诊断效果好，患者不良反应少，值得临床大力推广。
目的：探討無痛胃鏡下治療食管靜脈麯張的臨床療效。方法：2012年9月-2014年9月收治食管靜脈麯張患者72例，將其隨機分為觀察組與對照組，對照組(n=36)予以常規胃鏡在清醒狀態進行套扎治療，觀察組(n=36)予以無痛胃鏡在痳醉狀態進行套扎治療，觀察兩組患者的治療效果。結果：觀察組治療總有效率97.2%，明顯高于對照組83.3%，差異具有統計學意義(χ2=4.546，P＜0.05)；觀察組總滿意度100%，明顯高于對照組的47.2%，差異具有統計學意義(χ2=23.166，P＜0.05)；觀察組嗆咳、流涎、噁心嘔吐等不良反應的髮生率分彆為2.8%、5.6%、8.3%，明顯低于對照組的69.4%、77.8%、50.0%，差異具有統計學意義(χ2a=31.846，χ2b=35.714，χ2c=13.177，P均＜0.05)。結論：採用無痛胃鏡下治療食管靜脈麯張視野清晰，診斷效果好，患者不良反應少，值得臨床大力推廣。
목적：탐토무통위경하치료식관정맥곡장적림상료효。방법：2012년9월-2014년9월수치식관정맥곡장환자72례，장기수궤분위관찰조여대조조，대조조(n=36)여이상규위경재청성상태진행투찰치료，관찰조(n=36)여이무통위경재마취상태진행투찰치료，관찰량조환자적치료효과。결과：관찰조치료총유효솔97.2%，명현고우대조조83.3%，차이구유통계학의의(χ2=4.546，P＜0.05)；관찰조총만의도100%，명현고우대조조적47.2%，차이구유통계학의의(χ2=23.166，P＜0.05)；관찰조창해、류연、악심구토등불량반응적발생솔분별위2.8%、5.6%、8.3%，명현저우대조조적69.4%、77.8%、50.0%，차이구유통계학의의(χ2a=31.846，χ2b=35.714，χ2c=13.177，P균＜0.05)。결론：채용무통위경하치료식관정맥곡장시야청석，진단효과호，환자불량반응소，치득림상대력추엄。
Objective:To investigate the clinical effect of painless endoscopy in the treatment of esophageal varices.Methods:72 patients with esophageal varices incases were selected from September 2012 to September 2014.They were randomly divided into the experimental group and the control group.Patients in the control group(n=36) were given ligation treatment by conventional endoscopy in the conscious state,while the observation group(n=36) were given ligation treatment with painless gastroscope in anesthesia state,then we observed the treatment effect in two groups.Results:The total effective rate of the observation group was 97.2%,significantly higher than the control group of 83.3%,the difference was statistically significant(χ 2=4.546,P<0.05);the total satisfaction rate of the observation group was 100%,significantly higher than the control group of 47.2%,the difference was statistically significant(χ2=23.166,P<0.05);in the observation group,the incidence of cough,salivation,nausea vomiting and other adverse reactions were 2.8%,5.6% and 8.3% respectively,significantly lower than in the control group which were 69.4%,77.8%and 50% respectively,the differenc was statistically significant( χ 2a=31.846, χ 2b=35.714, χ 2c=13.177,P<0.05).Conclusion:Painless gastroscopy use in patients with esophageal varices has clear vision,good diagnosis effect,and few adverse reactions,so it is worthy of clinical promotion.
