| 无痛经食管超声心动图与普通经食管超声心动图应用价值的对比研究 |
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| 引用本文： | 朱英,邓又斌,喻红辉,谭娟,贝兵,曹丽珠,卓晓,孙睿颖,刘娅妮. 无痛经食管超声心动图与普通经食管超声心动图应用价值的对比研究[J]. 临床超声医学杂志, 2020, 22(3): 165-169 |
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| 作者姓名： | 朱英 邓又斌 喻红辉 谭娟 贝兵 曹丽珠 卓晓 孙睿颖 刘娅妮 |
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| 作者单位： | 430030 武汉市,华中科技大学同济医学院附属同济医院超声影像科;430030 武汉市,华中科技大学同济医学院附属同济医院麻醉科 |
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| 基金项目： | 国家自然基金青年基金项目(81601509)。 |
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| 摘 要： | 目的与普通TEE进行比较,探讨无痛经食管超声心动图(TEE)在安全性、患者舒适度及诊疗效果方面的临床应用价值。方法连续性收集我院接受普通经食管超声检查的患者116例(普通TEE组)和接受无痛TEE检查的患者80例(无痛TEE组)。监测并评估两组患者生命体征监测,记录并比较TEE检查失败率、一次性插管成功率、检查时间及并发症,评估各超声图像满意度,以及患者舒适度视觉模拟量表(VAS)评分。结果①两组生命体征监测情况比较:普通TEE组检查中,患者心率、收缩压及舒张压均显著高于检查前基础状态(均P<0.05),检查后较检查中减低(P<0.05),仍稍高于检查前基础状态;无痛TEE组检查中,患者心率、收缩压及舒张压均较检查前降低(均P<0.05),检查后升高但与检查前基础状态比较差异无统计学意义;②TEE检查失败率、一次性插管成功率、检查时间及并发症比较:无痛TEE组均成功放置经食管超声探头,普通TEE组6例未能完成常规TEE置管;无痛TEE组一次性插管成功率显著高于普通TEE组(87.5%vs.75.9%),检查时间显著长于普通TEE组[(13.2±4.4)min vs.(5.3±2.0)min],差异均有统计学意义(均P<0.05);无痛TEE组10例(12.5%)检查后出现恶心、呕吐、咽喉疼痛,显著低于普通TEE组[32例(27.6%)],差异有统计学意义(P=0.011);③各组TEE图像获取满意度:无痛TEE组中98.8%的病例图像清晰满意,而普通TEE组中仅65.5%的图像满意,差异有统计学意义(P<0.05);④两组患者舒适度VAS评分比较:无痛TEE组VAS评分显著低于普通TEE组评分[(0.4±0.8)分vs.(3.3±1.7)分],且患者再次行TEE检查的意愿显著高于普通TEE组(92.5%vs.51.7%),差异均有统计学意义(均P<0.01)。结论无痛TEE是一项安全、有效的检查方法,与普通TEE相比,更适用于病情较重的患者,能够为患者提供更为舒适的检查体验,有利于获取全面、优质的图像资料,使其更好地服务于临床诊疗评估。
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| 关 键 词： | 超声心动描记术 经食管 无痛 麻醉 |
A comparative study of application value in sedated and conventional transesophageal echocardiography |
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| Affiliation: | (Department of Ultrasound Imaging,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China) |
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| Abstract: | Objective To explore the clinic value of sedated transesophageal echocardiography(TEE)in evaluatingthe safety,patient comfort and efficacy,compared to conventional TEE.MethodsOne hundred and sixteen patients examinedby conventional TEE(conventional TEE group)and 80 patients examined by sedated TEE(sedated TEE group)were included.Data including heart rate,blood pressure,oxygen saturation change,success rate of one-time intubation,examination time,complications,image satisfaction,and the level of discomfort of visual analogue scale(VAS)were recorded.The results of the twogroups were compared and statistically analyzed.ResultsIn the conventional TEE group,the heart rate and blood pressuresincreased significantly during examination(all P<0.05),which were reduced after examination but still slightly higher thanthose before examination(all P<0.05).In the sedated TEE group,the heart rate,systolic and diastolic blood pressures duringexamination were reduced compared with baseline pressures(all P<0.05).However,there were no significant increase of theheart rate and blood pressures after examination.The success rate of one-time intubation in the sedated TEE group wassignificantly higher than that of the conventional TEE group(87.5%vs.75.9%,P<0.05),the examination time was significantlylonger than that of the conventional TEE group[(13.2±4.4)min vs.(5.3±2.0)min,P<0.05].10 cases(12.5%)in the conventionalgroup had nausea,vomiting and sore throat,which were significantly less than those in the sedated TEE group(32 cases,27.6%),the difference was statistically significant(P<0.05).98.8%cases in the sedated TEE group had satisfactory images,while only65.5%image quality satisfaction in the conventional TEE group(P<0.05).The VAS score in sedated TEE group was significantlydecreased compared with the conventional TEE group(0.4±0.8 vs.3.3±1.7,P<0.01).And the number of patients willing toaccept the TEE examination in future in the sedated group was significantly higher than that of the conventional TEE group(92.5%vs.51.7%,P<0.01).ConclusionSedated TEE is a safe and efficient examination.Compared with the conventionalTEE,it is suitable for patients with more serious conditions.It can provide patients with a more comfortable examinationexperience,which is beneficial to obtaining comprehensive and high-quality image data. |
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| Keywords: | Echocardiography,transesophageal Sedation Anesthesia |
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