摘要
目的了解无痛胃肠镜检查患者并发症的发生情况,对相关危险因素进行分析,并提出针对性干预对策。方法选择2019年1月至2020年12月在郑州市第二人民医院接受无痛胃肠镜检查的1242例患者作为研究对象,记录并发症的发生情况,并进行单因素分析和logistic多因素回归分析确定危险因素。结果1242例无痛胃肠镜检查患者,共计发生各种并发症72例,发生率为5.80%,其中以恶心呕吐(23例)、呛咳(17例)以及一过性低血压(14例)为主。logistic多因素回归分析发现,体质量指数(BMI)≥24kg·m^(-2)(OR=1.545,95%CI:1.006~2.373)、有呼吸系统疾病史(OR=2.307,95%CI:1.153~4.617)、检查前8h禁食禁水(OR=1.974,95%CI:1.063~3.667)以及焦虑自评量表(SAS)评分>50分(OR=2.469,95%CI:1.191~5.120)均为无痛胃肠镜检查患者并发症发生的独立危险因素(P<0.05)。结论无痛胃肠镜检查患者发生并发症的风险较高,以恶心呕吐、呛咳以及一过性低血压为主,其独立危险因素包括BMI≥24kg·m^(-2)、有呼吸系统疾病史、检查前8h禁食禁水以及SAS评分>50分。应积极做好应对措施,以降低无痛胃肠镜检查中各种并发症的发生率。
Objective To survey the occurrence of complications of painless gastroenteroscopy,analyze related risk factors,and propose targeted intervention strategies.Methods A total of 1242 patients who underwent painless gastroenteroscopy in Zhengzhou Second People’s Hospital from January 2019 to December 2020 were selected as the research object.The occurrence of complications were record,and the risk factors were determined by univariate analysis and logistic multivariate regression analysis.Results Among 1242 patients undergoing painless gastroenteroscopy,a total of 72 cases of various complications occurred,and the incidence rate was 5.80%.The complications mainly included nausea and vomiting(23 cases),coughing(17 cases)and transient hypotension(14 cases).Logistic multivariate regression analysis indicated that the independent risk factors of body mass index(BMI)≥24 kg·m^(-2)(OR=1.545,95%CI:1.006-2.373),history of respiratory diseases(OR=2.307,95%CI:1.153-4.617),fasting 8 hours before examination(OR=1.974,95%CI:1.063-3.667)and SAS score>50 points(OR=2.469,95%CI:1.191-5.120)(P<0.05).Conclusion Painless gastroenteroscopy has a higher risk of complications,mainly including nausea and vomiting,coughing and transient hypotension.The independent risk factors include BMI≥24 kg·m^(-2),history of respiratory diseases,fasting 8 hours before examination and SAS score>50 points.Actively countermeasures should be taken to reduce the incidence of various complications in painless gastroenteroscopy.
作者
王亚婷
王新霞
王春凤
WANG Yating;WANG Xinxia;WANG Chunfeng(Department of Anesthesia,Zhengzhou Second People’s Hospital,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2022年第4期626-629,共4页
Henan Medical Research
关键词
无痛胃肠镜
并发症
危险因素
LOGISTIC回归分析
干预对策
painless gastroenteroscopy
complications
risk factors
logistic regression analysis
intervention strategies
