无痛胃镜检查与护理干预的效果观察(1)
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[摘要] 目的：探讨无痛胃镜检查与护理干预的效果。方法：216例胃镜检查患者按用药方法不同分为观察组(无痛胃镜)和对照组(常规胃镜)，每组各108例。观察组按1.5~2.5 mg/kg体重剂量静脉缓慢推注丙泊酚，待睫毛反射消失后行胃镜检查，按照不同时段采取相应的护理干预。对照组给予2%利多卡因胶浆10 ml局部咽部麻醉，实施常规护理。观察两组术前、术中的收缩压(SBP)、舒张压(DBP)、心率(HR)、呼吸频率(RR)、血氧饱和度(SpO2)及不良反应。结果：①观察组术中SBP、DBP、HR、RR、SpO2与术前对比，差异无统计学意义(P>0.05)；对照组术中与术前比较，差异有统计学意义(P<0.05)。②两组术中的SBP、DBP、HR、RR、SpO2对比，差异有统计学意义(P<0.05)。③观察组不良反应小于对照组，差异有高度统计学意义(P<0.01)。结论：无痛胃镜检查优于普通胃镜检查，安全、无痛苦。护理干预是顺利完成无痛胃镜的重要环节。
[关键词] 无痛胃镜；丙泊酚；护理干预；效果观察
[中图分类号] R473.5.2 [文献标识码] A [文章编号] 1673-7210(2012)01(a)-107-03
Observation on therapeutic effect of patients undergoing painless gastroscope and nursing interference
KOU Xiaoping
Department of Digestive, the First Affiliated Hospital of Baotou Medical College, Inner Mongolia Autonomous Region, Baotou 014010, China
[Abstract] Objective: To evaluate the effect of patients undergoing painless gastroscope and nursing interference. Methods: 216 patients with gastroscope inspection were divided into study group (painless gastroscope) and control group (ordinary gastroscope)，according to the preparation method different, each group had 108 cases. The study group was given from vein of slow infusion of Propofol (1.5~2.5 mg/kg), after eyelash reflection disappeared, routine nursing were carried out according to different time. The control group was given 2% Lidocaine rubber paste (10 ml) to topical pharyngeal anesthesia, routine nursing were taken The systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), respiratory rate (RR), blood oxygen saturation (SpO2) and adverse reaction of two groups before and after operation were observed. Results: ①The study group of the preoperation of the SBP and DBP, HR, RR, SpO2 were compared with before operation, the differences were not statistically significant (P>0.05); the control group of the preoperation were compared with before operation, the differences were statistically significant (P<0 ......
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