颈动脉窦按压法治疗无痛胃镜检查术中呃逆的有效性及安全性

Efficacy and safety of carotid sinus massage for the relief of hiccups during painless gastroscopy

摘要:

为探讨颈动脉窦按压法对无痛胃镜检查中呃逆的治疗效果及其安全性，选取北京友谊医院2024年5—6月门诊择期行无痛胃镜检查的患者，其中检查过程中发生呃逆的患者纳入本次研究，采用随机数字表法将患者随机分成2组，试验组采用颈动脉窦按压法治疗呃逆，对照组采用腹部按压法，主要观察2组呃逆改善率、胃镜检查成功率及时间、图像质量评分、相关不良反应发生率、患者及操作医师满意度等指标。最终纳入64例患者，试验组、对照组各32例，2组基线资料比较差异无统计学意义（P>0.05）。试验组呃逆改善率明显高于对照组［81.25%（26/32）比68.75%（22/32），χ2=5.741，P=0.017］，胃镜检查时间明显短于对照组［（11.63±1.66）min比（15.25±1.68）min，t=-8.668，P<0.001］，胃镜检查成功率明显高于对照组［90.62%（29/32）比68.75% （22/32），χ2=4.730，P=0.030］，图像质量评分明显高于对照组［（37.97±1.15）分比（36.59±1.54）分，t=4.044，P<0.001］，操作医师满意率明显高于对照组［93.75%（30/32）比62.50%（20/32），χ2=9.143，P=0.002］。2组术中、术后各不良反应发生率及患者满意率比较，差异均无统计学意义（P>0.05）。初步结果提示，对于无痛胃镜检查术中发生的呃逆，颈动脉窦按压法治疗安全、有效，在有效改善呃逆的同时，有助于内镜医师继续内镜操作，并能够提高此类患者的胃镜检查成功率，缩短检查时间。

Abstract:

To investigate the therapeutic effects and safety of carotid sinus massage for the relief of hiccups during painless gastroscopy, patients with hiccups during elective painless gastroscopy in Beijing Friendship Hospital from May to June, 2024 were enrolled. According to the random number method, the patients were divided into 2 groups, including the experimental group and the control group. The patients with hiccups in the experimental group were treated with carotid sinus massage, and those in the control group were treated with abdominal compression. The improvement rate of hiccups, the gastroscopy success rate, the gastroscopy time, the image quality scores, the incidence of adverse reactions during and after gastroscopy, patient satisfaction, and endoscopist satisfaction of the two groups were mainly observed. Finally, 64 patients were included with 32 cases in the experimental group and 32 cases in the control group. There was no significant difference in baseline data between the two groups (P>0.05). The results showed that the improvement rate of hiccups in the experimental group was significantly higher than that in the control group [81.25% (26/32) VS 68.75% (22/32), χ2=5.741, P=0.017]. The gastroscopy time in the experimental group was significantly lower than that in the control group (11.63±1.66 min VS 15.25±1.68 min, t=-8.668, P<0.001). The gastroscopy success rate in the experimental group was significantly higher than that in the control group [90.62% (29/32) VS 68.75% (22/32), χ2=4.730, P=0.030]. The image quality score in the experimental group was significantly higher than that in the control group (37.97±1.15 scores VS 36.59±1.54 scores, t=4.044, P<0.001). The endoscopist satisfaction in the experimental group was higher than that in the control group [93.75% (30/32) VS 62.50% (20/32), χ2=9.143, P=0.002]. There was no significant difference in the incidence of adverse reactions during and after gastroscopy or patient satisfaction between the two groups (P>0.05).The primary outcomes indicate that carotid sinus massage is an effective and safe treatment for relief of hiccups during painless endoscopy. At the same time, this treatment helps endoscopists to perform endoscopy continuously, which increases the gastroscopy success rate and shortens the examination time.