胃镜检查形式选择依据研究.

Objective To explore the reference basis of the choice of sedated or conventional gastroscopy. Methods 453 patients from Department of Gastroenterology in Chongqing Tongnan District People's Hospital and University Town Hospital of Chongqing Medical University who were accepted the sedated or conventional gastroscopy from March, 2017 to October, 2019 were enrolled in the study consecutively to compare their difference on tolerance, time and cost of the examinations. They were divided into conventional group ( 252 cases) and sedated group ( 202 cases) according to their examination willingness. The conventional group was divided different groups according to their gender and age, male with 18-35 years old were 42 cases, male with 35<60 years old were 41 cases, male with>60years old were 43 cases, female with 18-35 years old were 41 cases, female with 35<60 years old were 42 cases, and female with>60 years old were 42 cases. These groups were compared on their tolerance degree and examination quality. Results The scores on contracture of digestive tract and agitation rate on conventional gastroscopy group were higher than sedated gastroscopy group(P<0.05). Conventional gastroscopy's total examination time is shorter than sedated group (P>0.05). In the conventional gastroscopy group: nausea score and contracture of digestive tract score in the group of 18-35 years old male were higher than other groups. Its agitation rate was also higher than other groups. nausea and vomit score in the group of 35 - 60 years old women was higher than other groups except the group of 18-35 years old male (P<0.05). The cost of sedated group was more than conventional group. Conclusion The tolerance of patient accepted sedated gastroscope is higher than that accepted conventional gastroscopy, but sedated gastroscope takes more time and cost. There is no significant difference in the examination quality between sedated gastroscopy and conventional gastroscopy. Age and gender influence the tolerance of patients accepted gastroscopy synthetically. The tolerance of gastroscopy in different age groups is different in different genders. The gastro scope tolerance of young men and middle aged women is relatively poor. Reasonable use of sedated gastroscopy can be recommended to these patients. [ABSTRACT FROM AUTHOR]