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中国当代医药  2020, Vol. 27 Issue (21): 100-102    
  妇幼医学 本期目录 | 过刊浏览 | 高级检索 |
无痛胃镜在儿童患者中安全性及不良心理状况的研究
肖 晨 曾 凯 张 翼 罗 丽
江西省萍乡市妇幼保健院儿内科,江西萍乡 337000
Study on the safety and bad psychological state of painless gastroscope in children
XIAO Chen ZENG Kai ZHANG Yi LUO Li
Department of Pediatrics,Pingxiang Maternal and Child Health Hospital,Jiangxi Province,Pingxiang 337000,China
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摘要 目的 探讨无痛胃镜在儿童患者中的安全性及不良心理状况。方法 选取2019年1月~2020年1月在我院治疗的60 例上消化道异物患儿作为研究对象,按照随机数字表法分为对照组和实验组,每组各30 例。对照组开展普通胃镜诊疗,实验组开展无痛胃镜诊疗。观察两组手术前后平均动脉压(MAP)、血氧饱和度(SpO2)监测结果、Spence 儿童焦虑量表(SCAS)评分情况、异物取出效果及术中不良反应发生情况。结果 观察组术中MAP 水平低于对照组,差异有统计学意义(P<0.05);两组术前及术后MAP 水平比较,差异无统计学意义(P>0.05);两组术前、术中及术后的SpO2 比较,差异无统计学意义(P>0.05)。观察组术后SCAS 评分低于对照组,取出时间短于对照组,一次性取出成功率高于对照组,差异均有统计学意义(P<0.05)。观察组的不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论 无痛胃镜能改善患儿MAP 水平、SCAS 评分,提高一次性取出成功率,减少不良反应的发生,值得临床推荐。
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肖晨
曾凯
张翼
罗丽
关键词 无痛胃镜上消化道异物安全性负面心理    
AbstractObjective To explore the safety and bad psychological status of painless gastroscopy in children. Methods From January 2019 to January 2020,60 patients with foreign bodies in the upper digestive tract with complete medical records were selected as the subjects,they were divided into control group and experimental group according to random number table method,30 cases in each group.The patients in the control group were treated with general gastroscope,and the patients in the experimental group were treated with painless gastroscope.The mean arterial pressure (MAP),blood oxygen saturation (SpO2),spence children′s anxiety scale (SCAS) score,foreign body removal effect and adverse reactions were observed before and after operation. Results The MAP level in the observation group was lower than that in the control group,the difference was statistically significant (P<0.05).There was no significant difference in map between the two groups before and after operation (P>0.05).There was no significant difference in SpO2 between the two groups before,during and after operation (P>0.05).The SCAS score of the observation group was lower than that of the control group,the time of extraction was shorter than that of the control group,and the success rate of one-time extraction was higher than that of the control group,the differences were statistically significant (P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,the difference was statistically significant (P<0.05).Conclusion Painless gastroscopy can improve the MAP level and SCAs score of children,improve the success rate of one-time removal,and reduce the incidence of adverse reactions,which is worthy of clinical recommendation.
Key wordsPainless gastroscope    Foreign body in upper digestive tract    Safety    Bad psychology
    
基金资助:江西省萍乡市科技计划项目(2019PY137)
引用本文:   
肖晨; 曾凯; 张翼; 罗丽. 无痛胃镜在儿童患者中安全性及不良心理状况的研究[J]. 中国当代医药, 2020, 27(21): 100-102.
XIAO Chen; ZENG Kai; ZHANG Yi; LUO Li. Study on the safety and bad psychological state of painless gastroscope in children. 中国当代医药, 2020, 27(21): 100-102.
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