高血压患者无痛肠镜下肠息肉切除术的临床研究(1)
【摘要】 目的：研究高血压患者无痛肠镜下肠息肉切除术的临床效果。方法：选择2019年3月-2020年6月笔者所在医院收治的行肠息肉切除术的高血压患者80例开展本次研究，根据实施手术方式的不同分成两组，实施无痛肠镜患者设为A组(40例)，实施普通肠镜患者设为B组(40例)，对比两组各项临床指标。结果：入镜前两组各项生命体征比较差异无统计学意义(P>0.05)，手术中、出镜后，A组各项生命体征均优于B组，差异均有统计学意义(P<0.05);术前两组去甲肾上腺素、肾上腺素水平比较差异无统计学意义(P>0.05)，术后A组去甲肾上腺素、肾上腺素水平均优于B组，差异均有统计学意义(P<0.05);A组术后VAS评分为(3.2±1.0)分，低于B组的(5.2±2.1)分，差异有统计学意义(t=3.325，P<0.05)。结论：对高血压患者实施无痛肠镜下肠息肉切除术，能有效改善患者围术期各项生命体征指标，改善患者血液中儿茶酚胺值，降低患者术后疼痛，值得推广。
【关键词】 高血压 无痛肠镜 肠息肉切除术 治疗效果
doi：10.14033/j.cnki.cfmr.2020.26.012 文献标识码 B 文章编号 1674-6805(2020)26-00-03
Clinical Study of Painless Enteroscopy for Intestinal Polypectomy in Patients with Hypertension/LIN Yueyang. //Chinese and Foreign Medical Research， 2020， 18(26)： -35
[Abstract] Objective： To study the clinical effect of painless enteroscopy for intestinal polypectomy in patients with hypertension. Method： A total of 80 patients with hypertension who underwent intestinal polypectomy in our hospital from March 2019 to June 2020 were selected to carry out this study. According to the different ways of operation， they were divided into two groups： group A (40 cases) with painless enteroscope and group B (40 cases) with ordinary enteroscope. The clinical indexes of the two groups were compared. Result： There was no significant difference in vital signs between the two groups (P>0.05). During and after surgery， all vital signs in group A were better than those in group B， the differences were statistically significant (P<0.05). There was no significant difference in norepinephrine and epinephrine levels between the two groups before operation (P>0.05)， after surgery， postoperative norepinephrine and epinephrine levels in group A were better than those in group B， the differences were statistically significant (P<0.05). Postoperative VAS score in group A was (3.2±1.0) points， lower than (5.2±2.1) points in group B， the difference was statistically significant (t=3.325， P<0.05). Conclusion： Painless colonoscopy for intestinal polypectomy in patients with hypertension can effectively improve perioperative vital signs of the patients， improve the value of catecholamine in the blood of the patients， and reduce postoperative pain， which is worthy of promotion.
[Key words] Hypertension Painless enteroscopy Intestinal polypectomy Therapeutic effect
First-author’s address： Chaozhou People’s Hospital， Chaozhou 521000， China
無痛技术的开展和普及是一项利国利民的医疗技术，主要由麻醉科提供技术，无痛胃肠镜的使用越来越受到广大患者的青睐，已经在临床广泛普及应用，但对于个别特殊患者的适用性比较严格，对于有基础疾病患者，如高血压病，都需要比较严格的评估[1-2]。本文主要研究高血压患者无痛肠镜下肠息肉切除术的临床效果，以期能够帮助临床重新评估无痛胃肠镜用于治疗高血压患者的效果，为医疗发展提供有利的技术理论支持，具体报道如下。, http://www.100md.com(林岳阳)
【关键词】 高血压 无痛肠镜 肠息肉切除术 治疗效果
doi：10.14033/j.cnki.cfmr.2020.26.012 文献标识码 B 文章编号 1674-6805(2020)26-00-03
Clinical Study of Painless Enteroscopy for Intestinal Polypectomy in Patients with Hypertension/LIN Yueyang. //Chinese and Foreign Medical Research， 2020， 18(26)： -35
[Abstract] Objective： To study the clinical effect of painless enteroscopy for intestinal polypectomy in patients with hypertension. Method： A total of 80 patients with hypertension who underwent intestinal polypectomy in our hospital from March 2019 to June 2020 were selected to carry out this study. According to the different ways of operation， they were divided into two groups： group A (40 cases) with painless enteroscope and group B (40 cases) with ordinary enteroscope. The clinical indexes of the two groups were compared. Result： There was no significant difference in vital signs between the two groups (P>0.05). During and after surgery， all vital signs in group A were better than those in group B， the differences were statistically significant (P<0.05). There was no significant difference in norepinephrine and epinephrine levels between the two groups before operation (P>0.05)， after surgery， postoperative norepinephrine and epinephrine levels in group A were better than those in group B， the differences were statistically significant (P<0.05). Postoperative VAS score in group A was (3.2±1.0) points， lower than (5.2±2.1) points in group B， the difference was statistically significant (t=3.325， P<0.05). Conclusion： Painless colonoscopy for intestinal polypectomy in patients with hypertension can effectively improve perioperative vital signs of the patients， improve the value of catecholamine in the blood of the patients， and reduce postoperative pain， which is worthy of promotion.
[Key words] Hypertension Painless enteroscopy Intestinal polypectomy Therapeutic effect
First-author’s address： Chaozhou People’s Hospital， Chaozhou 521000， China
無痛技术的开展和普及是一项利国利民的医疗技术，主要由麻醉科提供技术，无痛胃肠镜的使用越来越受到广大患者的青睐，已经在临床广泛普及应用，但对于个别特殊患者的适用性比较严格，对于有基础疾病患者，如高血压病，都需要比较严格的评估[1-2]。本文主要研究高血压患者无痛肠镜下肠息肉切除术的临床效果，以期能够帮助临床重新评估无痛胃肠镜用于治疗高血压患者的效果，为医疗发展提供有利的技术理论支持，具体报道如下。, http://www.100md.com(林岳阳)