一氧化二氮吸入用于老年患者无痛胃镜检查的效果及安全性

发布时间：2018-06-28 14:58

本文选题：一氧化氮吸入 + 无痛胃镜　；参考：《中国老年学杂志》2015年05期

【摘要】：目的探讨一氧化二氮(笑气)吸入用于老年患者无痛胃镜检查中的效果及安全性。方法选取60岁以上老年患者120例,随机分为无痛胃镜检查组和普通胃镜检查组,每组各60例,无痛胃镜检查组在胃镜检查前口服利多卡因胶浆并持续吸入笑气后行胃镜检查,普通胃镜检查组口服利多卡因胶浆后检查。比较两组患者检查中的不适反应情况,以及检查前、中、后血压、心率、血氧饱和度的变化。结果无痛胃镜检查组不适反应明显减轻,与普通胃镜检查相比较差异显著(P0.05),普通胃镜以及无痛胃镜组中患者血压、心率在检查中均增加,但与检查前相比普通胃镜组有明显差异(P0.05),而无痛胃镜组与检查前相比差异无统计学意义(P0.05),血氧饱和度在检查前、中、后无明显变化(P0.05)。结论笑气吸入用于老年患者无痛胃镜检查是一种舒适、安全、有效的方法。
[Abstract]:Objective to investigate the efficacy and safety of nitrous oxide inhalation in painless gastroscopy in elderly patients. Methods 120 patients over 60 years old were randomly divided into painless gastroscopy inspection group and general gastroscopy inspection group, each group consisted of 60 cases. The painless gastroscopy inspection group took Lidocaine glue and inhaled laughing gas continuously before gastroscopy. General gastroscopy inspection group after oral lidocaine gel examination. The changes of blood pressure, heart rate and oxygen saturation before, during and after examination were compared between the two groups. Results the discomfort response of painless gastroscope inspection group was alleviated significantly compared with that of common gastroscopy (P0.05). The blood pressure and heart rate of patients in common gastroscope and painless gastroscopy group were increased during the examination. But there was significant difference between the common gastroscopy group and before examination (P0.05), but there was no significant difference between painless gastroscopy group and before examination (P0.05), blood oxygen saturation before, during, and after examination had no significant change (P0.05). Conclusion inhaled laughing gas is a comfortable, safe and effective method for painless gastroscopy in elderly patients.
【作者单位】：徐州医学院附属医院消化内科;
【基金】：徐州市科技局社会发展科技计划项目(XZZD1057)
【分类号】：R573

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