王 璐

3種不同麻醉方法對胃鏡檢查的影響

The effect of different anesthesia methods on gastroscopic examination outcomes

王 璐

WANG Lu.

Xuyi People's Hospital, Huaian 211700, China

目的 分析3種不同麻醉方法對胃鏡檢查的影響。 方法 將279例行胃鏡檢查的患者隨機分為對照組(胃鏡檢查15 min前含服利多卡因膠漿1支)、觀察組1(胃鏡檢查前15 min含服利多卡因膠漿1支，含服后5 min咽部噴灑1%的丁卡因10～15次)和觀察組2(胃鏡檢查前15 min含服利多卡因膠漿1支，含服后5 min咽部噴灑1%的丁卡因10～15次,5 min再次噴灑1%的丁卡因10～15次)。觀察3組患者的麻醉效果、不適癥狀。 結果 觀察組進鏡反應、黏膜刺激、唾液量、泡沫量、胃蠕動方面情況均好于對照組，不適癥狀輕于對照組。 結論 選擇最佳咽部麻醉方法，既能保證胃鏡檢查的順利進行，又能降低患者的畏懼感。

麻醉；胃鏡檢查

Objective To analyze the effect of different anesthesia methods on gastroscopic examination outcomes. Methods A total of 279 patients to receive routine gastroscopy were randomly divided into a control group (sublingual 1 lidocaine mortar 15 minutes before examination), an observation group 1 (sublingual 1 lidocaine mortar 15 minutes before examination, spraying 1 % tetracaine 10 to 15 times to the throat 5 minutes later) and group 2 (sublingual 1 lidocaine mortar 15 minutes before examination, spraying 1 % tetracaine 10 to 15 times to the throat five minutes later, and repeating the spraying 5 minutes later). The anesthesia effect and discomfort were observed for the 3 groups. Results The onset reaction, mucous membrane irritation, saliva and foam output, as well as peristole of the observation group were better than those in the control group. Less discomfort was found in the 2 observation groups, compared to the control group. Conclusion Selecting the best pharyngeal anesthesia can not only guarantee the smoothness of the gastroscopy, but also reduce the sense of fear in patients.

Pharyngeal anesthesia; Gastroscopy

211700 江蘇淮安,淮安市盱眙縣人民醫(yī)院

·臨床護理·

診療護理

10.3969/j.issn.1674-3768.2016.02.007