高龄老年高血压患者无痛胃镜检查安全性分析

目的观察高龄老年高血压患者无痛胃镜检查时生命体征及术中反应，探讨高龄老年高血压患者行无痛胃镜检查的安全性。方法选取北京老年医院接受胃镜检查的≥80岁老年高血压患者100例，分为试验组（无痛胃镜组）50例，对照组（常规胃镜组）50例，比较两组患者胃镜检查时心率（HR）、收缩压（SBP）、舒张压（DBP）、血氧饱和度（SaO，）变化操作时间（麻醉后行胃镜检查时间）及术中反应。结果胃镜检查中试验组患者SBP、DBP、HR和Sa02显著下降（均P〈0．01），术后均可恢复正常，对照组患者SBP、DBP、HR均较前显著升高（均P〈0．01），Sa02显著下降（P〈0．01），检查中试验组Sa02高于对照组Sa02，但差异无统计学意义（P〉0．05），试验组胃镜操作时间较对照组稍短，差异无统计学意义（P〉O．05），试验组不良反应明显低于对照组，差异有统计学意义（P〈0．01），试验组舒适度明显高于对照组，差异有统计学意义（P〈O．01）。结论高龄老年高血压患者行无痛胃镜检查是安全、舒适的。

Safety of elderly hypertension patients during analgesic gastroscopy

Objective To investigate the safety of the elderly patients with hypertension during analgesic gastroscopy by monitoring the changes of their vital signs and responses during operation process. Methods A total of 100 hypertension patients with age over 80 undergoing gastroscopy were prospectively divided into experimental group （receiving analgesic gastroscopy） and control group （receiving conventional gastroscopy）, with 50 cases in each group. During the process of gastroscopy, the heart rate （HR）, systolic blood pressure （SBP）, diastolic blood pressure （DBP）, saturation of blood oxygen （SaOz）, operating time and adverse reaction were monitored and compared between the two groups. Results The HR, SBP, DBP, and SaO2 were decreased during analgesic gastroscopy （P 〈 0.01）, and all of these indexes returned to normal levels after operation. The SBP, DBP, and HR were increased （P 〈 0.01） and SaO2 was decreased （P〈 0.01） during conventional gastroscopy. The SaO2 was higher in analgesic gastroscopy group than in conventional gastroscopy group, but there was no significant difference between the two groups （P 〉 0.05）. Analgesic gastroscopy group had shorter operating time than in conventional gastroscopy group, but there was no significant difference between the two groups （P 〉 0.05）. Analgesic gastroscopy group had significantly fewer adverse reactions and were more comfortable during operation when compared with conventional gastroscopy group （both P〈 0.01）. Conclusion Analgesic gastroscopy is safe and comfortable for elderly patients with hypertension.