无痛胃镜在高风险老年患者中的应用

目的探讨无痛胃镜检查术在高风险老年患者中的临床应用价值。方法98例需胃镜检查的高风险老年患者按照自愿原则分为无痛胃镜组52例和普通胃镜组46例，观察所有患者的不良反应并监测心率、呼吸、脉搏血氧饱和度及血压的变化。结果无痛胃镜组患者咳嗽、咽痛、恶心、呕吐、躁动等不适反应较普通胃镜组明显减少（P〈0．01），对检查的满意程度高（P〈0．01）；无痛胃镜组检查中心率减慢，血压下降并较检查前平稳（P〈0．05）；普通胃镜组检查中较检查前心率加快、血压升高，差异有统计学意义（P〈0．05）。结论在高风险老年患者中无痛胃镜术是一种安全、易接受的检查方法。

Application of painless gastroscopy in high - risk geriatric patients

Objective To invesigate the value of clinical application of painless gastroscopy in high- risk geriatric patients. Methods Ninety- eight high -risk geriatric patients who needed gastros- copy were divided into the painless gastroscopy group （52 patients） and common gastroscopy group （46 patients） as principle of voluntariness. Observe the adverse reactions of all patients and continuously monitor heart rate, respiration, pulse oxygen saturation and blood pressure. Results The incidence rate of adverse reactions （such as cough, angina, nausea, vomiting, agitation） were significant lower and degree of satisfaction were higher in painless gastroscopy group than those in control group respectively （P 〈 0.01 ）. Heart rate, systolic blood pressure and diastolic blood pressure decreased significantly during the procedure than before it in painless gastoscopy （P 〈 0.05）. However, heart rate, systolic blood pressure and diastolic blood pressure were increased significant during the examination than before it in common gatroseopy （ P 〈 0.05 ）. Conclusions Painless gastroscopy in high - risk geriatric patients is safe and acceptable.