无痛肠镜和普通肠镜检查应用于老年患者的效果及安全性比较

发布时间：2018-06-01 06:35

本文选题：肠镜 + 安全性　；参考：《中国老年学杂志》2015年22期

【摘要】：目的比较老年患者应用无痛肠镜和普通肠镜检查的效果和安全性。方法选择2013年1月至2014年8月该院门诊和住院接受肠镜检查的老年患者100例,按照检查方法分为无痛肠镜组54例和普通肠镜组46例,分别进行无痛肠镜和普通肠镜检查,比较两组检查前和检查过程中血压、心率、血氧饱和度变化及操作时间、成功率和不良反应。结果无痛肠镜组患者检查中收缩压、舒张压、心率和血氧饱和度与检查前比较无统计学意义(P0.05),但显著低于普通肠镜组(P0.05),普通肠镜组患者检查中收缩压、舒张压、心率较检查前显著升高(P0.05),血氧饱和度与检查前比较无统计学差异(P0.05);两组操作时间比较无统计学差异(P0.05),无痛肠镜组成功率、恶心呕吐、头疼、心动过缓发生率高于普通肠镜组,但差异无统计学意义(P0.05),腹胀、腹痛发生率显著低于普通肠镜组义(P0.05)。结论无痛肠镜检查对于老年患者具有良好的安全性,患者在接受检查时不良反应较低,值得临床推广。
[Abstract]:Objective to compare the efficacy and safety of painless colonoscopy and general colonoscopy in elderly patients. Methods from January 2013 to August 2014, 100 elderly patients who were examined by endoscopy were divided into painless colonoscopy group (54 cases) and general enteroscopy group (46 cases). The changes of blood pressure, heart rate, blood oxygen saturation, operation time, success rate and adverse reaction were compared between the two groups before and during examination. Results systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation in painless colonoscopy group were not significantly different from those before examination, but were significantly lower than those in common colonoscopy group, and systolic blood pressure and diastolic pressure in common colonoscopy group. The heart rate was significantly higher than that before examination, and the blood oxygen saturation was not significantly different from that before examination. There was no significant difference in operating time between the two groups (P 0.05). The success rate of painless colonoscopy group, nausea and vomiting, headache and bradycardia were higher than those in the common enteroscopy group. But there was no significant difference in the incidence of abdominal distension and abdominal pain, which was significantly lower than that in the common colonoscopy group (P 0.05). Conclusion painless colonoscopy has good safety for elderly patients, and the adverse reactions of patients with painless enteroscopy are relatively low, which is worth popularizing in clinic.
【作者单位】：遵义市第一人民医院消化科;遵义市第一人民医院麻醉科;
【分类号】：R574

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