Comparative Analysis Of Endotoscopy In Scleroembolization Treatment Of Esophagogastric Varices With Intravenous Anesthesia And Tracheal Intubation Intravenous Anesthesia

Objective To investigate the safety and economy of intravenous anesthesia and tracheal intubation intravenous anesthesiain in scleroembolization treatment of esophageal-gastro varices(EGV).Methods A prospective study was performed in 58 patients with inactive bleeding who underwent EGV endoscopic treatment from September 2017 to August 2018.They were randomized into a total of 28 intravenous anesthesia groups(non-intubated group)and 30 intravenous anesthesia group(intubation group).They were compared and analyzed in terms of basic condition,safety and economy.The statistical measurement data was analyzed by t test or rank sum test,and the count data was analyzed by Chi-square Test.Results In the non-intubation group,the Sp O2 decreased compared with the intubation group(P<0.05),and there was no significant difference in blood pressure,heart rate and other vital signs between the two groups(P>0.05).Intraoperative non-intubation group patients with nausea10 cases(35.7%),cough 8 cases(28.5%),impact 11 cases(39.3%),hiccup5cases(17.8%),snoring 2 cases(7.1%)and Respiratory inhibition(53.6%),the incidence rate was higher than the intubation group;Intraoperative non-intubation group,patients with fever5 cases(17.8 %),chest pain4 cases(14.3 %),abdominal pain1 case(1.7 %);intubation group with fever6 cases(20 %),chest pain 9 cases(30 %).In both groups,there was 100 % hyperemia and 72 h no active hemorrhage.The induction time,recovery time and total operation time of the non-intubation group were shorter than those of the intubation group(P<0.01).There was no significant difference in the operation time of endos-copic treatment(P>0.05).The anesthesia cost was higher than that of the nonintubation group(P<0.01).There was no significant difference between endoscopic treatment cost,total hospitalization cost and hospitalization days(P>0.05).Conclusions For patients with inactive gastroesophageal varicel bleeding endoscopic scleroembolization treatment,intravenous anesthesia and tracheal intubation intravenous anesthesiain can provide a good anesthetic environment,and intravenous anesthesia induction time is short,quick recovery,low anesthesia costs,It is a safe and economical method of anesthesia.