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目的研究超细胃镜与普通胃镜在经口插入检查上消化道疾病中的诊疗价值。方法抽选2013年4月—2014年6月收治的上消化道疾病患者136例,随机法分为超细组(例数=68)和普通组(例数=68),超细组给予超细胃镜经口插入检查,普通组给予普通胃镜经口插入检查,比较两组患者检查中心率、血氧饱和度、血压变化情况及恶心、呕吐程度,评估两组患者插管检查效果。结果两组患者检查中血氧饱和度均较检查前下降,且普通组低于超细组,差异有统计学意义(P<0.05);两组患者检查中心率均显著增加,差异有统计学意义(P<0.05),但两组组间比较差异无统计学意义(P>0.05);普通组检查中舒张压较检查前显著降低(P<0.05)。超细组恶心、呕吐程度与普通组比较均较轻,两组比较差异有统计学意义(P<0.05)。超细组检查优可率(97.06%)与普通组(86.76%)比较差异有统计学意义(P<0.05)。结论超细胃镜用于上消化道疾病诊疗效果显著优于普通胃镜,患者插管顺利、检查中生命体征较稳定、恶心呕吐程度低,诊疗效果好。
Objective To investigate the diagnostic value of ultrafine gastroscopy and conventional endoscopy in the diagnosis of upper gastrointestinal diseases by oral insertion. Methods 136 patients with upper gastrointestinal diseases were selected from April 2013 to June 2014. The patients were randomly divided into ultrafine group (n = 68) and general group (n = 68) Gastroscopy was inserted into the mouth, and the common group was given general endoscopy for oral insertion. The central rate of examination, oxygen saturation, blood pressure, nausea and vomiting were compared between the two groups. The intubation effect was evaluated in both groups. Results The oxygen saturation of the two groups was lower than that before the examination, and the average group was lower than the superfine group, the difference was statistically significant (P <0.05); the center rate of both groups were significantly increased, the difference was statistically (P <0.05), but there was no significant difference between the two groups (P> 0.05). The diastolic blood pressure of the general group was significantly lower than that before the test (P <0.05). The degree of nausea and vomiting in the ultrafine group was lighter than that in the normal group, with significant difference between the two groups (P <0.05). The excellent rate of ultra-fine group (97.06%) was significantly higher than that of common group (86.76%) (P <0.05). Conclusion Ultrafine gastroscopy is superior to ordinary endoscopy in the diagnosis and treatment of upper gastrointestinal diseases. The intubation is smooth, the vital signs are stable, the degree of nausea and vomiting is low, and the curative effect is good.