摘要
目的 探讨护理配合在使用经鼻胃镜进行上消化道癌群体筛查中的应用价值。方法 2021-6-12至2024-6-23应用日本富士胶片提供的经鼻内镜EG-580NW在甘肃省15个县区中对2995人进行经鼻胃癌内镜筛查，统计并分析其插入成功率、舒适度、不良反应、肿瘤及癌前病变发生率。结果 2995人次中92.2%一次插入成功，2.3%一侧失败改另一侧成功。检查过程中鼻腔不适8.7%、鼻部疼痛15.3%、鼻出血10.6%、恶心欲吐19%、咽喉不适或疼痛11.1%。检查后94.39%愿意再次接受经鼻内镜。结论 超细胃镜是上消化道癌群体筛查的有力武器，良好的护理配合可以提高检查的成功率和患者的耐受性，从而提高早癌和癌前病变的发现率。
关键词： 胃癌；经鼻胃镜；群体筛查
Abstract
Objective To explore the application value of nursing cooperation in the screening of upper digestive tract cancer by nasal gastroscope. Methods From June 12, 2021 to June 23, 2024, 2995 people in 15 counties of Gansu Province were screened by nasal endoscope EG-580NW provided by fujifilm, and the success rate, comfort, adverse reactions, incidence of tumor and precancerous lesions were counted and analyzed. Results Among 2995 people, 92.2% were successfully inserted at one time, and 2.3% failed on one side and succeeded on the other. During the examination, nasal discomfort was 8.7%, nasal pain was 15.3%, nosebleed was 10.6%, nausea and vomiting was 19%, and throat discomfort or pain was 11.1%. After the examination, 94.39% were willing to undergo nasal endoscopy again. Conclusion Ultra-fine gastroscope is a powerful weapon for group screening of upper digestive tract cancer. Good nursing cooperation can improve the success rate of examination and the tolerance of patients, thus improving the detection rate of early cancer and precancerous lesions.
Key words： Gastric cancer; Transnasal esophagogastroduodenoscopy; Population screening
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