老年患者无痛苦胃镜检查

    Painless gastroscopy for aged patients

    • 摘要: 目的: 观察无痛胃镜检查对老龄患者的全身影响及安全性。方法: 将261例胃镜检查的老年患者分为丙泊酚、咪达唑仑镇静组(镇静组,160例)和常规操作(对照组,101例),比较两组胃镜检查中患者反应和感受、操作时间、清醒时间及检查前、中、后的血压、心率、血氧饱和度变化。结果: 镇静组患者99.4%无不适,而对照组为35%(P<0.01)。镇静组患者咳嗽、恶心、呕吐和咽喉不适发生率明显低于对照组。镇静组胃镜操作时间为(4.5±1.5) min,短于对照组(5.6±1.8) min (P<0.01)。镇静组患者清醒时间为(1.4±1.3) min,检查中血压、血氧饱和度轻度下降,但均在正常范围,心电监护未发现严重心率失常及明显加重心肌缺血。全部病例圴顺利完成检查,无痛苦记忆。结论: 老年患者无痛苦胃镜检查是安全的。

       

      Abstract: Objective: To investigate the safety and efficacy of painless gastroscopy for aged patients. Methods: One hundred and sixty elderly patients were divided into sedative group (n=160) and control group (n=101). The sedative group received propofol and midazolam intravenously in addition to routine operation. The reaction, operative duration and conscious time were compared between the two groups. The changes of blood pressure, heart rate and blood oxygen saturation (SaO2) before and after operation were recorded and analyzed. Results: 99.4% of the patients in the sedative group and 35% in the control group did not complain of any discomfort or pain during gastroscopy (P<0.01). The incidence of cough, restlessness, nausea, vomiting and guttural discomfort in the sedative group was lower than that of the control group. The operative duration was shorter in the sedative group (4.5±1.5) min than in the control group (5.6±1.8) min (P<0.01). The recovery time of the sedative group was (1.4±1.3) min. In the process of inspection, the blood pressure and SaO2 of the patients in the sedative group reduced slightly, but within normal limits. No serious arrhythmia or myocardial ischemia was observed. All the patients went through successfully, leaving no painful memories. Conclusions: Painless gastroscopy is safe for aged patients.

       

    /

    返回文章
    返回