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目的 :纤维胃镜检查是诊断小儿上消化道疾病先进的介入性的方法 ,探讨检查过程中是否会对小儿产生不良影响及安全性问题。观察对象 :2 74例 3.5～ 13岁小儿胃镜操作过程中的反应 ,并根据小儿哭闹、面色、配合及一般情况判断其耐受程度。良好 :表现为安静、自觉配合 ;一般 :表现为有哭闹 ,但劝之能配合 ;差 :表现为哭闹 ,劝之不止 ,不配合。并对其中 39例做了动态心电图监测。结果 :全部小儿顺利接受胃镜检查 ,耐受者良好者 176例(6 3.5 0 % ) ,无 1例意外反应。其中体型肥胖能配合者 2 3例 ,耐受程度良好者 12例 (5 2 .17% ) ,一般者 8例 (34 .78% ) ,差者 3例 (13.0 4% ) ;体型中等 15 5例 ,耐受良好者 114例 (73.5 5 % ) ,一般者 2 9例 (18.71% ) ,差者 12例 (7.74% ) ;体型消瘦 96例 ,耐受良好者 5 2例 (5 4.17% ) ,一般者 2 7例 (2 8.13% ) ,耐受差者 17例 (17.71% )。 39例心电监测显示在胃镜管行至各部位时的心率明显快于检查前 (P <0 .0 5 ) ,检查前平均心率为 97.2次 /min ,检查中为 12 9.33次 /min ,检查中较检查前心率平均增加 32 .13次 /min ,而在检查中上消化道各部位的心率变化差异无显著性 (P >0 .0 5 )。退出胃镜后心率完全恢复到术前正常范围的时间最短 2min ,最长 5min ,无其它严重心?
OBJECTIVE: Fiber gastroscopy is an advanced invasive method to diagnose upper gastrointestinal diseases in children and to explore whether adverse effects and safety problems will be caused in children during the examination. Subjects: The response of 2 74 cases of children aged 3.5 to 13 years undergoing gastroscope operation was evaluated according to the degree of tolerance of their children in terms of crying, looking, cooperation and general conditions. Good: the performance of quiet, conscientiously cooperate; General: the performance of a cry, but advised to cooperate; poor: the performance of crying, advise not only, do not cooperate. 39 cases of them were done dynamic electrocardiogram monitoring. Results: All pediatric patients underwent endoscopy successfully, and 176 patients (6 3.5%) were well tolerated. No one had an unexpected response. Among them, 23 were obesity-tolerant and 12 (52.17%) were well-tolerated, 8 were generally (34.78%), 3 were poor (13.0 4%), and 15 Among them, 114 were well-tolerated (73.5%), 29 were generally (18.71%), and 12 were poor (7.74%); 96 were emaciated, 52 were well tolerated , 27 cases (2 8.13%), and 17 patients (17.71%) with poor tolerance. 39 cases of ECG showed that the heart rate was significantly faster than that before the examination (P <0.05), the average heart rate before the examination was 97.2 times / min, the examination was 12 9.33 times / min, check Heart rate increased by an average of 32.13 times / min compared with that before the examination, while there was no significant difference in heart rate between the upper digestive tract and the upper digestive tract (P> 0.05). After exiting the gastroscope heart rate completely restored to the normal range of preoperative shortest 2min, maximum 5min, no other serious heart?