老年患者对咽部局麻加静脉麻醉无痛胃镜检查的安全性

发布时间：2018-03-27 15:07

本文选题：咽部局麻　切入点：静脉麻醉　出处：《中西医结合心血管病电子杂志》2016年16期

【摘要】：目的分析老年患者在咽部局麻加静脉麻醉无痛胃镜检查的不良反应与临床指标。方法选取2015年4月~2016年2月来我院消化内科就诊并接受胃镜检查的老年患者132例作为本次实验的研究对象,根据自愿以及随机的原则,将其分为研究组与对照组,各66例,对照组患者采取常规的胃镜进行检查,研究组则为患者提供无痛胃镜进行检查,对两组患者的临床指标以及不良反应进行比较。结果检查期间,研究组MAP以及HR指标明显优于对照组,差异有统计学意义(P0.05)。通过比较后得知,研究组恶心、呛咳以及躁动的发生率明显低于对照组,差异有统计学意义(P0.05)。结论老年患者在咽部局麻加静脉麻醉无痛胃镜检查的安全性较高,值得临床推广与应用。
[Abstract]:Objective to analyze the adverse reactions and clinical indicators of painless pharynx local anesthesia and intravenous anesthesia in elderly patients. Methods 132 cases of elderly patients who had been admitted to our hospital from April 2015 to February 2016 and received gastroscopy were selected. As the object of this experiment, According to the principle of voluntary and random, they were divided into two groups: the study group and the control group, 66 cases each. The patients in the control group were examined by routine gastroscopy, while the patients in the study group were examined with painless gastroscopy. The clinical indexes and adverse reactions of the two groups were compared. Results during the period of examination, the MAP and HR indexes in the study group were significantly better than those in the control group, and the difference was statistically significant (P 0.05). The incidence of choking cough and restlessness was significantly lower than that of the control group (P 0.05). Conclusion the safety of the elderly patients with local anesthesia and intravenous anesthesia in painless gastroscopy is higher, and it is worth popularizing and applying in clinic.
【作者单位】：贵州电网有限责任公司电力职工医院;
【分类号】：R614

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