Objective To investigate the clinical effects of foreign bodies removal surgery in upper digestive tract under gastroscope and related risk factors. Methods Eighty-four patients with upper digestive tract foreign bodies who underwent removal surgery under gastroscope in our hospital from September 2014 to May 2016 were enrolled in the study,in whom, 31 patients who received removal surgery under routine gastroscope were enrolled as routine treatment group,however, the other 53 patients who received removal surgery under painless gastroscopy were enrolled as observation group. The heart rate ( HR) ,mean arterial pressure ( MAP) and blood oxygen saturation ( SPO2 ) before and after surgery were retrospectively analyzed in both group. Moreover the successful removal rate of foreign bodies,the time of foreign bodies removal,incidence rates of adverse reactions and complications were observed and compared between two groups. Results The levels of HR and MAP during operation in routine treatment group were significantly increased, however, which in observation group were significantly decreased,moreover,which in routine treatment group were significantly higher than those in observation group (P<0. 05). However there were no significant differences in the levels of HR and MAP at the end of operation between two groups ( P >0. 05). In addition there were no significant differences in SPO2 values during operation between two groups (P>0. 05). The successful removal rate of foreign bodies was 83. 87％ in routine treatment group,which was significantly lower than that (96. 23％) in observation group ( P < 0. 05). Besides the incidence rates of adverse reactions and complication in routine treatment group were significantly higher than those in observation group ( P <0. 05). The successful removal rate of foreign bodies in upper digestive tract under gastroscope was correlated with location of foreign bodies,types of foreign bodies,shapes of foreign bodies and visiting time at some extent ( P <0. 05). Conclusion The upper gastrointestinal foreign bodies removal surgery under painless gastroscopy has the advantages of higher success rate,higher safety, conveniency and low incidence of complications,therefor,which plays an important role in early diagnosis and treatment of upper digestive tract foreign bodies.%目的 探讨胃镜上消化道异物取出术的临床应用效果.方法 选择上消化道异物取出术治疗的84例患者作为本次研究对象,其中通过常规内镜取出患者31例为常规组.通过无痛电子胃镜取出患者53例为观察组,回顾性分析2组术前、术中及术后心率(HR)、平均动脉压(MAP)和血氧饱和度(SPO2)变化情况,比较2组异物成功取出率、异物取出时间、不良反应及并发症发生率.结果 常规组术中HR和MAP值显著升高,观察组患者术中HR和MAP值显著降低,且常规组术中HR和MAP值显著高于观察组,差异均有统计学意义(P<0.05);2组术毕HR和MAP值均恢复到与术前相当,差异无统计学意义(P>0.05);2组SPO2值在手术过程中,差异无统计学意义(P>0.05);常规组异物取出成功率显著低于观察组,差异有统计学意义(P<0.05);常规组异物取出时间显著高于观察组,差异有统计学意义(P<0.05);常规组不良反应发生率及术后并发症发生率均显著高于观察组,差异有统计学意义(P<0.05);上消化道异物胃镜下取出成功率与异物部位、类型、形状及就诊时间均存在一定相关性(P<0.05).结论 无痛胃镜异物取出具有成功率高、安全性高、简便易行且并发症发生率低等特点,在上消化道异物早期诊治中具有重要意义.
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