门诊无痛胃肠镜检查患者的观察及护理对策

目的 进一步了解门诊行无痛胃肠镜检查过程中及检查后并发症及不良反应的发生情况,探讨检查前风险因素及护理对策.方法 收集2008年1月至2010年5月共1 230例门诊无痛胃肠镜检查病例资料进行回顾性分析.结果 最常见的并发症及不良反应是焦虑、恶心或呕吐、腹痛、腹胀等,其他还有低血压、心律失常、呼吸抑制、低血糖、摔跤、出血等.老年及检查前合并有心血管疾病、慢性呼吸道疾病、糖尿病等基础疾病者并发症及不良反应发生率明显升高.结论 在临床广泛实施的无痛胃肠镜检查过程中及检查后仍可能发生多种并发症及不良反应,且老年人或合并有心、肺、糖尿病等基础病者发生率更高,故应术前充分评估风险,控制基础疾病,采取合理且针对性的护理对策,对于提高胃肠镜检查的成功率,尽可能减少并发症及不良反应非常必要.

Observation and nusing strategy for patients with painless gastrointestinal endoscope examination

Objective To investigate the incidence of complication or adverse reaction during and after painless gastrocopy examination, explore the risk factors of examination and correlate nursing strategy.Methods A retrospective analysis was designed, 1 230 patients underwent painless gastrointestinal endoscope examination from January 2008 to may 2010. Results The common complications or adverse reaction were anxiety, nausea and vomiting, abdominal pain, abdominal distension, etc, and other, such as hypotension,arrhythmia, respiratory depression, glycopenia, tumble and hemorrhage. Patient got more complications and adverse reaction who was aged and got comorbidity including cardiovascular disease, chronic respiratory disease,diabetes mellitus and so on. Conclusions There are many complications or adverse reactions during the progression or after painless gastrointestinal endoscope examination and the incidence is higher in the elder or patient who has multiple complications about heart, lung and DM. It is necessary to evaluate preoperative risk,control basic disease, take reasonable nursing interventions to promote the success rate and reduce complications.