西藏高原地区无痛苦消化内镜应用的可行性和安全性

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (535 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the feasibility, safety and adverse reactions of painless endoscopy performing on the Tibet plateau.Methods Eight hundreds and ten patients who had received painless endoscopy in Tibet Corps Hospital of PAP between July 2015 and June 2016 were enrolled in the experiment group (painless group), while another 810 patients who had received conventional endoscopy in the same period were enrolled randomly in the control group (conventional group).The changes of blood pressure(BP), heart rate(HR), respiration rate (RR), blood Oxygen saturation (SpO₂) before, in the middle of and after the painless endoscopy inspection were observed. The endoscopic completion rate, degree of comfort, satisfaction with the operation, acceptability of the endoscopic examination, the operators’ degree of satisfaction with the endoscopic vision and gastrointestinal movements, and the adverse reactions were recorded and compared between the two groups.Results SpO₂ in the middle of endoscopic inspection was decreased by 8.2 percent compared with that before the inspection in painless group, and the difference was of statistical significance (P<0.05). However, the decline of SpO₂ was transient so that the postoperative SpO₂ could return to the preoperative level after corresponding treatment. All the patients in painless group finished the examination. There were twelve cases of transient respiratory depression and two cases of cough due to adverse reactions in painless group. 805 patients in control group finished the examination. There were 426 cases of nausea and vomiting out of adverse reactions in control group. The completion rate of endoscopy, degree of comfort, satisfaction with the operation, acceptability of the endoscopic examination, the operators’ degree of satisfaction with the endoscopic vision and gastrointestinal movements in painless group were higher than in control group, and there were statistically significant differences (P<0.05) between the two groups.Conclusions The application of painless endoscopy on the Tibet plateau is feasible and safe. The patients feel comfortable and satisfied. The endoscopic vision is better. Painless endoscopy is worthy of clinical popularization on the plateau, but attention should be paid to the adverse reaction of transient respiratory depression.

Key words： painless endoscopy plateau safety

Received: 02 October 2016

ZTFLH:	R339.54
	R57

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	DENG Quanjun
	ZHAXI Cuomu
	MIMA Lamu
	XIANG Xikui
	YANG Li
	ZHANG Yalong
	and LI Xiaolong

Cite this article:

DENG Quanjun,ZHAXI Cuomu,MIMA Lamu等. Feasibility and safety of painless gastrointestinal endoscopy in Tibet Plateau[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(2): 186-188.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I2/186

[1]	周玲君,章沿锋,谷思汉,等.丙泊酚用于无痛胃镜对老年人应激反应的影响[J].医学研究杂志,2008,37(6):96-98.
[2]	方文莉,吴云林,刘宝宏,等.老年冠心病患者麻醉胃镜安全性的评估[J].胃肠病学和肝病学杂志,2004,13(3):310-312.
[3]	Meining A, Semmler V, Kassem A M, et al. The effect of sedation on the quality of upper gastrointestinal endoscopy: an investigator-blinded, randomized study comparing proprfol with midazolam [J]. Endoscopy, 2007, 39(4): 345-349.
[4]	李旭彤, 曹双军, 李伟男, 等.无痛胃肠镜与常规胃肠镜在消化道疾病诊治中的临床对比分析[J]. 现代生物医学进展, 2016,16 (12): 2320-2322.
[5]	中华医学会消化内镜学分会,中华医学会麻醉学分会. 中国消化内镜诊疗镇静麻醉专家共识意见[J].中国实用内科杂志, 2014,34 (8): 756-764.
[6]	张彦博,汪源,刘学良,等. 人与高原[M]. 西宁: 青海人民出版社, 1996:279.
[7]	荣恒,何文政.丙泊酚复合芬太尼用于无痛胃镜对血流动力学影响[J].广西医科大学学报, 2014, 31(1): 143-144.
[8]	赵红艳,李华, 邓全军,等. 无痛苦内镜在119例老年患者介入治疗中的应用[J]. 武警后勤学院学报(医学版), 2015,24 (10):808-809.