目的探讨超细鼻胃镜在临床应用中的安全性和耐受性。方法将1 500例行胃镜检查的患者随机分成两组,分别为超细鼻胃镜组和标准胃镜检查组,分别监测检查前、检查过程中受检者的血压、脉搏、血氧饱和度、心肌耗氧量,并评估受检者的恶心反应。结果超细鼻胃镜检查组的血压、脉搏、心肌耗氧量变化低于标准胃镜检查组(P<0.05),恶心反应低于标准胃镜检查组(P<0.05),两组胃镜检查完成时间无明显差异(P>0.05)。结论超细鼻胃镜检查相对于普通胃镜检查,患者的恶心反应小,对心血管的影响更小,耐受性更好,更安全。
Objective To evaluate the security and tolerability of transnasal ultrathin gastroscopy. Methods 1 500 patients were randomly assigned to undergo transnasal ultrathin gastroscope or conventional trans-oral gastroscope. Blood pressure,pulse rate,blood oxygen saturation,myocardial oxygen consumption were monitored and recorded before the examination and during the procedure,meanwhile gagging reaction were evaluated. Results Changes in blood pressure,pulse rate,and myocardial oxygen consumption in patients undergoing transnasal gastroscope were less than those in patients undergoing conventional oral gastroscope ( P < 0. 05) . The gagging was less in transnasal than in oral groups. Conclusion Transnasal ultrathin gastroscope is well tolerated,and it’s safe with fewer hemodynamic effects.