无痛电子胃镜和普通胃镜在小儿上消化道异物取出术的应用对比.docxVIP

无痛电子胃镜和普通胃镜在小儿上消化道异物取出术的应用对比 陈亮任 [摘要]目的 探討无痛电子胃镜和普通胃镜在小儿上消化道异物取出术中的应用。方法 选取我院20XX年1月～20XX年4月收治的42例上消化道异物患儿作为研究对象，按照随机数字表法将其分为对照组（21例）和观察组（21例）。对照组采用普通胃镜治疗，观察组采用无痛电子胃镜治疗。比较两组患儿异物取出成功率、围术期不同时间节点血流动力学变化及不良反应发生情况。结果 观察组患儿异物取出成功率（95.24%）高于对照组（71.43%），差异有统计学意义（P0.05）;对照组患儿术中平均动脉压（MAP）和心率（HR）高于本组术前，观察组患儿术中MAP及HR低于本组术前，且低于对照组，差异有统计学意义（P0.05）;两组患儿术前、术中、术后血氧饱和度（SpO2）比较，差异无统计学意义（P0.05）;观察组患儿不良反应总发生率（9.52%）低于对照组（47.62%），差异有统计学意义（P0.05）。结论 在小儿上消化道异物取出术采用无痛电子胃镜手术异物取出成功率高，对血流动力学影响较小，且不良反应发生率低。 [关键词]无痛电子胃镜;普通胃镜;上消化道异物;异物取出术 [中图分类号] R726.5 [文献标识码] A [文章编号] 1674-4721（2020）7（c）-0050-04 Application comparison of painless electronic gastroscope and ordinary gastroscope in the removal of foreign bodies in children′s upper digestive tract CHEN Liang-ren Department of Gastroenterology， People′s Hospital of Gaozhou， Guangdong Province， Gaozhou 525200， China [Abstract] Objective To explore the application of painless electronic gastroscope and ordinary gastroscope in the removal of foreign bodies in children′s upper digestive tract. Methods A total of 42 children with foreign bodies in the upper digestive tract admitted to our hospital from January 20XX to April 20XX were selected as the research objects. According to the random number table method， they were divided into control group （21 cases） and observation group （21 cases）. The control group was treated with ordinary gastroscope， and the observation group was treated with painless electronic gastroscope. The success rate of foreign body removal， the hemodynamic changes at different time points during the perioperative period and the incidence of adverse reactions were compared between the two groups. Results The success rate of foreign body removal in the observation group （95.24%） was higher than that in the control group （71.43%）， the difference was statistically significant （P0.05）. The mean arterial pressure （MAP） and heart rate （HR） of the children in the control group were higher than those