一次麻醉胃肠镜联合检查在老年患者中的临床应用价值探讨

目的探讨分析在老年患者的消化系统检查中实施一次麻醉胃肠镜联合检查的临床效果。方法选取2012年8月～2013年10月实施消化道胃肠镜检查的老年患者156例，随机分为观察组与对照组，观察组患者实施一次麻醉下胃肠镜联合检查，对照组按照临床常规分别进行胃镜与肠镜检查，对比观察两组患者临床效果。结果观察组总检查时间短于对照组，应用麻醉药物总量少于对照组，患者满意度显著高于对照组，呛咳发生率明显低于对照组，差异有统计学意义（P〈0．05）；而心血管事件、呼吸事件发生率两组患者没有明显差异（P〉0．05）。结论在老年患者临床检查中开展一次麻醉胃肠镜联合检查，能够缩短检查时间，减少麻醉药物用量，减少呛咳发生，患者检查更为方便，满意度明显提高，且不会引起心血管、呼吸事件增多，具有良好的临床应用效果及安全性。

Discussion of the clinical value of a combined gastrointestinal endoscopy under single-dose anesthesia for elderly patients

Objective To explore and analyze the clinical efficacy of a combined gastrointestinal endoscopy under single-dose anesthesia in the examination of gastrointestinal system for elderly patients. Methods 156 elderly patients who received gastrointestinal endoscopy from August 2012 to October 2013 were selected and randomly allocated to an observation group and a control group. The observation group received a combined gastrointestinal endoscopy under single-dose anesthesia, while the control group followed the clinical routine method and received gastroscope and intestinal endoscopy separately. Clinical efficacy between the two groups were compared and observed. Results Total examination time in the observation group was shorter than that in the control group, total dose of anesthetic drugs was fewer than that in the control group, patients＇ satisfaction was significantly higher than that in the control group and the incidence of bucking was significantly lower than that in the control group. The differences were statistically significant （P 〈 0.05）; there was no significant difference of the incidence of cardiovascular and respiratory events between the two groups （P 〉 0.05）. Conclusion The combined gastrointestinal endoscopy under single-dose anesthesia carried out in clinical examination for elderly patients helps shorten examination time, reduce the dose of anesthetic drugs, decrease the incidence of bucking, facilitate the examination for patients, and significantly improve the satisfaction rate, while it will not increase cardiovascular and respiratory events, which proves to have a favorable clinical effect and good safety.