摘要
目的分析急诊胃镜下透明帽辅助治疗上消化道异物(UEFB)的治疗效果。方法回顾性分析2018年1月—2023年1月在青岛市胶州中心医院接受治疗的75例UEFB患者,按照手术治疗方法分为胃镜治疗组(n=36)和透明帽辅助治疗组(n=39)。对比两组患者手术相关指标、治疗耐受性、生命体征指标、异物取出成功率。结果透明帽辅助治疗组手术操作时间短于胃镜治疗组,视野情况、治疗耐受性优于胃镜治疗组,并发症发生率低于胃镜治疗组(P<0.05);术后透明帽辅助治疗组HR和MAP均低于胃镜治疗组(P<0.05);而透明帽辅助治疗组一次取出成功率与胃镜治疗组比较差异无统计学意义(P>0.05)。结论使用透明帽辅助急诊胃镜对UEFB患者进行治疗,可确保手术时操作视野,有效缩短手术操作时间,降低患者的并发症发生率,治疗耐受性较好且生命体征平稳,但异物取出率较胃镜治疗患者无明显差异。
Objective To analyze the therapeuticeffect oftransparent capunder emergency gastroscopyin the adjuvant treatment of upper esophageal foreign body(UEFB).Methods 75 patients with UEFBwho received treatment in thehospital from January 2018 to January 2023 were retrospectively analyzed.According to the surgical treatment methods,they were divided into gastroscopy treatment group(n=36)and transparent cap adjuvant treatment group(n=39).The vital signs,success rate of foreign body removal and treatment tolerance were compared between the two groups.Results The treatment tolerance in the transparent cap adjuvant treatment group was better than that in the gastroscopy treatment group(P<0.05),and the postoperative HR and MAP were lower than those in the gastroscopy treatment group(P<0.05).In the treatment of patients with UEFB assisted by transparent cap,38 patients(97.44%)were successfully removed by gastroscopy at one time,and 1 patient(2.56%)failed.However,there was no statistically significant difference in the success rate of one-time foreign body removal between the transparent cap-assisted treatment group and the gastroscopy treatment group(P>0.05).Conclusion The use of transparent cap assisted emergency gastroscopy in the treatment of UEFB patients can ensure the operation field of vision during operation,effectively shorten the operation time,reduce the incidence of complications,and have good treatment tolerance and stable vital signs.However,there was no significant difference in the removal rate of foreign bodies compared with patients treated with gastroscopy.
作者
侯小霞
王红霞
吴美英
HOU Xiaoxia;WANG Hongxia;WU Meiying(Department of Gastroenterology,Jiaozhou Central Hospital of Qingdao,Qingdao Shandong 266300,China)
出处
《中国急救复苏与灾害医学杂志》
2024年第6期816-819,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
2022—2024年青岛市市级临床重点专科胃肠道肿瘤综合治疗专科资助(编号:青卫政字〔2022〕6号)。
关键词
上消化道
异物
透明帽
胃镜治疗
Upper esophageal tract
Foreign body
Transparent cap
Gastroscopy treatment
