重庆医学2011，Vol.40Issue(14)：1388-1390,3.DOI:10.3969/j.issn.1671-8348.2011.14.014
无痛内镜术在160例次食管胃静脉曲张治疗中的应用
Application of painless endoscopy in gastroesophageal varices treatment
兰春慧 1李平 1曹艳 1兰丽 1王瑶 1朱建英 1樊丽琳1
作者信息
- 1. 第三军医大学大坪医院消化内科,重庆,400042
- 折叠
摘要
Abstract
Objective To evaluate the efficiency and security under painless endoscopy in gastroesophageal varices treatment.Methods Retrospective analysis was made in 72 patients with gastroesophageal varices who accepted 160 times of sclerotherapy or tissue adhesive injection under painless endoscopy. The variation of blood pressure(Bp), heart rate(HR) and oxygen saturation (SpO2) during examination were observed. The operation and sleeping time, doses of anesthesia drugs and advers reation were recorded. The data of 8 cases accepted sclerotherapy under the ordinary endoscopy were compared. Results In painless group, systolic blood pressure(SBP)and diastolic blood pressure(DBP)were respectively reduced by 16.7％ (P＜0.01)and 26.8％ (P＜0.01), but these changes were temporary,could can be recovered after the treatment. There were not remarkable differences in HR and SpO2 before and in the treatment(P＞0.05). The emergency hemostasis rate under the painless endoscopy was 93.8％ ,the incidence rate of aspiration pneumonia was 1.9％. Conclusion Sclerotherapy or tissue adhesive injection with gastroesophageal varices under painless endoscopy is an effective, comfortable and safe method.关键词
麻醉,静脉/食管和胃静脉曲张/硬化溶液/组织黏合剂/内镜检查Key words
anesthesia/ intravenous/ esophageal and gastric varices/ scleroing solutions/ tissue adhesives/ endoscopy引用本文复制引用
兰春慧,李平,曹艳,兰丽,王瑶,朱建英,樊丽琳..无痛内镜术在160例次食管胃静脉曲张治疗中的应用[J].重庆医学,2011,40(14):1388-1390,3.
