老年冠心病患者接受全麻胃镜检查安全性分析

目的探讨老年冠心病患者接受患者全麻胃镜检查安全性。方法选取接受胃镜检查的老年冠心病患者145例,分为对照组(72例)及观察组(73例),对照组患者行常规胃镜检查,观察组患者在全麻下行胃镜检测,对患者生命体征、心电图改变、心肌酶水平进行监测并比较。结果对照组患者收缩压(SBP)及舒张压(DBP)、心率(HR)较术前有显著升高(P0.05),观察组患者术后SBP及DBP较术前有显著下降,且较对照组有显著性下降(P0.05)。对照组患者术后乳酸脱氢酶(LDH)、谷草转氨酶(AST)、磷酸肌酸激酶(CK)水平较术前显著升高(P0.05),观察组患者术后LDH、AST、CK水平较对照组显著下降(P0.05)。对照组患者室性早搏、传导阻滞、ST段改变分别有4例、2例、7例,观察组分别有3例、2例、4例,两组比较差异具有显著统计学意义(χ2=0.242,P0.05)。结论老年冠心病患者接受全麻胃镜检查可减轻冠脉缺血,减少心血管事件的发生。

Safety of Gastroscopy in Elderly Patients with Coronary Heart Disease

Objective To investigate the safety of gastroscopy in elderly patients with coronary heart disease.Methods One hundred and forty-five elderly patients with coronary heart disease who had undergone gastroscopy were divided into the control group (72 cases) and the observation group (73 cases).The control group received routine gastroscopy,while the observation group was detected with gastroscopy under general anesthesia.The vital signs,electrocardiogram,myocardial enzyme levels of patients were monitored and compared.Results SBP,DBP and HR in the control group were significantly elevated after gastroscopy (P＜0.05),while SBP and DBP significantly decreased in the observation group (P＜0.05).In the control group,the levels of LDH,AST and CK were significantly higher (P＜0.05) than in the observation group after gastroscopy (P＜0.05).In the control group,there were 4,2 and 7 cases of premature ventricular contraction,conduction block and ST segment changes respectively while the observation group had 3,2 and 4 cases respectively.There was statistically significant difference between the two groups (x2=0.242,P＜0.05).Conclusion For elderly patients with coronary heart disease,gastroscopy under general anesthesia can improve coronary artery ischemia and reduce the incidence of cardiovascular events.