Safety Evaluation Of Painless Gastroenteroscopy

ObjectiveThis study intends to study the characteristics of vital signs,endoscopy-related complications,patient satisfaction,propofol dosage,endoscopy time and intestinal cleanliness in the process of painless gastroenteroscopy.Finally,it intends to provide a reference for the extensive development of painless gastroenteroscopy in clinical work.MethodsIn this study,a total of 600 patients with digestive tract diseases treated in Yueyang Hospital Affiliated to Hunan Normal University from January 2020 to September 2020 were selected.According to different examination methods,they were divided into four groups: D1,D2,D3 and D4.Group D1 was the painless gastroenteroscopy combined examination group,which included 120 patients.Group D2 was treated with painless gastroscopy or enteroscopy,followed by painless enteroscopy or painless gastroscopy within 2 weeks,including 100 patients.D3 group was painless enteroscopy group,including 100 patients,D4 group was painless gastroscopy group,which included 100 patients.All patients were anesthetized with propofol and sufentanil,and the dosage of narcotic drugs was adjusted according to the individual condition of the patients during the operation.The changes of vital signs and the dosage of propofol before(Y1),during(Y2)and after(Y3)gastroenteroscopy were recorded,as well as the occurrence of adverse reactions such as severe cough,limb oscillation,mucosal injury,hypotension,respiratory depression and bradycardia during the examination,and intestinal cleanliness.The patients’ subjective feelings,satisfaction with the examination,postoperative abdominal distension,abdominal pain,nausea,vomiting,gastrointestinal bleeding and perforation and other adverse reactions were followed up 12 hours after the examination.The results of the study were as follows:Results:1.The difference of Y1 mean arterial pressure,Y2 mean arterial pressure and Y3 mean arterial pressure among the four groups was relatively small.However,It has been found that patients in the same group have relatively large differences before examination.Their mean arterial depression at Y2 stage is lower than that at Y1 and Y3 time periods,and the above differences are statistically significant.2.We compared the heart rates of the four groups of patients at different time periods and found that there was no significant statistical significance between the heart rates of Y1 and Y3.However,in the time stage of Y2,the comparison of heart rate in D1 group,D3 group and D4 group can be found to have significant statistical significance.The study found that patients assigned to the same group had significantly different heart rates before examination,and the Y2 group had the lowest heart rates.3.When we compared the oxygen saturation of the four groups of patients over different periods of time,we were able to find that the differences between them were not significant.We looked at the difference in blood oxygen saturation before and after examination in individuals assigned to the same group,which was found to be statistically significant.Moreover,among the three different time periods,the oxygen saturation of blood test in time period Y2 was the lowest among the three.4.in the four groups have been assigned according to the requirements,we chose two groups of them for intergroup comparison,we found that the differences in the length of examination time and the dosage of propofol were significant.In terms of the length of examination time and the dosage of propofol,the D1 group was smaller than the D2 group.5.We investigated and analyzed the satisfaction of the patients in the four groups after the examination,and came to a conclusion that the satisfaction of the patients in the D1 group was relatively high after the examination,while the D2 group was not satisfied with the examination,and between D1 and D3 groups revealed that the difference of satisfaction was of certain significance.In the four groups,D2 was the lowest and compared with any of the other groups,the difference was statistically significant.There was no statistically significant difference between D3 and D4,and between D1 and D4.6.According to the level of intestinal cleanliness,we randomly compared patients in D1,D2 and D3 groups with each other.After comparison,we did not find that there was statistical significance in the level of intestinal cleanliness between them.7.The four groups were compared with severe choking cough,limb swing,mucosal injury as well as uncertain conditions such as various changes in vital signs during the array change during the examination,we selected two groups from which we found no significance after comparison.As a result,no gastrointestinal bleeding or gastrointestinal perforation was found in all patients during the examination.Conclusion:1.We have not yet found a difference in safety between painless gastroscopy and painless enteroscopy compared with Painless gastroenteroscopy.2.Combined examination of painless gastroenteroscopy can reduce the waiting time for medical treatment and the time of endoscopic examination and improve the satisfaction of patients.Therefore,it is worth popularizing in clinic.3.Combined painless gastroenteroscopy has little effect on patient intestinal preparation.