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目的探索无痛胃(肠)镜在健康体检中的应用效果及对副反应、并发症的防治。方法回顾性分析503例无痛胃(肠)镜的临床资料,总结应用效果、药物副反应、并发症和采取的防治措施。结果所有检查均顺利完成,无不适记忆。503例中,无症状者408例(81.1%),检查阳性率高达75.3%。阳性中有2例(0.4%)胃癌和55例(11.0%)癌前病变。胃镜检查阳性率(96.5%)明显高于肠镜(17.8%)。血氧饱和度、血压、心率有不同程度下降,老年组较明显。除5例给予加大流量给氧、静脉给药外,其余均无需处理。结论在健康体检中,无痛胃(肠)镜检查是早期发现消化道病变的重要手段,是安全有效和无痛苦的。
Objective To explore the application effect of painless stomach (intestine) mirror in health examination and prevention of side reactions and complications. Methods The clinical data of 503 cases of painless stomach (intestine) were retrospectively analyzed, and the application effect, side effects, complications and preventive measures were summarized. As a result, all tests were completed without discomfort. In 503 cases, 408 cases (81.1%) were asymptomatic, and the positive rate of examination was as high as 75.3%. There were 2 cases (0.4%) of gastric cancer and 55 cases (11.0%) of precancerous lesions. The positive rate of gastroscopy (96.5%) was significantly higher than that of colonoscopy (17.8%). Oxygen saturation, blood pressure, and heart rate decreased in different degrees, and it was more obvious in the elderly group. Except for 5 cases of increased flow oxygen, intravenous administration, the rest need not be treated. Conclusions In the physical examination, painless stomach (intestine) examination is an important method for early detection of digestive tract lesions. It is safe, effective and painless.