鎮静剤使用下,上部消化管の通常及び経鼻内視鏡検査の呼吸循環器系に対する影響に関するProspective study

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  • PROSPECTIVE STUDY COMPARING TRANS-ORAL AND TRANS-NASAL UPPER GASTROINTESTINAL ENDOSCOPY ON THE CARDIORESPIRATORY PARAMETER AND TOLERABILITY

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The Aim of this prospective study is to investigate the cardiorespiratory parameter and accetability of transnasal gastrointestinal endoscopy in comparison with transoral gastrointestinal endoscopy on conscious sedation. Diagnostic gastrointestinal endoscopy was performed in 100 patients. Patients were randomly assigned to one of two type of conscious sedation gastrointestinal endoscopy : Transoral and trannasal group. Systolic and diastolic blood pressure, pulse rate and arterial oxygen saturation were measureded before, 2-3 minutes after insertion and just after endoscopic examination. Systolic and diastolic blood pressure, pulse rate and arterial oxygen saturation were not significantly different between two groups. In contrast, rate pressure product (RPP) was significantly greater in transoral group. Transnasal gastrointestinal endoscopy is safer than tranoral gastrointestinal endoscopy and is easier to accept.

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