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目的探讨无痛胃镜对上消化道疾病诊断与治疗的优越性。方法分析联合应用异丙酚、芬太尼行静脉麻醉下胃镜诊治术300例(无痛组)胃镜检查中反应观察及患者对胃镜检查的感受及愿意再次接受率与随机同期常规胃镜诊治术300例(对照组)比较。结果与普通相比,无痛组难以耐受和不适的比例明显减少(P<0.01),无不适的比例及愿意再次接受胃镜检查的比例明显增多(P<0.01)。结论无痛胃镜诊治术是一种安全、舒适的现代内镜诊治手段,值得临床推广应用。
Objective To investigate the superiority of painless gastroscopy in the diagnosis and treatment of upper gastrointestinal diseases. Methods Analysis of 300 cases (painless group) under endoscopy diagnosis and treatment under propofol and fentanyl combined with gastroscopy under gastroscopy were analyzed retrospectively and the patients’ feeling of gastroscopy and their willingness to accept again with conventional endoscopy Example (control group) comparison. Results Compared with the control group, the ratio of refractory to unwell in painless group was significantly decreased (P <0.01). The proportion of unmatched and willing to undergo gastroscopy again increased significantly (P <0.01). Conclusion Painless gastroscopy diagnosis and treatment is a safe and comfortable modern endoscopic diagnosis and treatment means, worthy of clinical application.