Hotler结合监护对高龄老人无痛胃镜的安全性评估

发布时间：2019-01-23 13:58

【摘要】：目的探讨胃镜检查对高龄老人心律、ST-T、血压、血氧饱和度(SPO2)、的影响,为老年人安全性地接受胃镜检查提供科学依据。方法患者术前接受问卷调查,Holter监测心律及ST-T改变,心电监护仪记录患者术前、术中、术后的血压及SPO2。结果 1高龄老人在接受胃镜检查时,普通胃镜组插镜过程中发生房性早搏(χ2=12.4103,P0.01)、室性早搏(χ2=6.7586,P0.05)较无痛胃镜组明显;2对于ST-T改变,普通胃镜组有明显影响(χ2=6.1250,P0.05),而无痛胃镜组则无明显影响(χ2=1.7857,P0.05);3无痛胃镜组有高血压病史的患者收缩压下降的幅度较无高血压病史的患者显著(t=3.8335,P0.05);4在吸氧5 L/min的情况下,SPO2在高龄老人胃镜检查时差异无显著性(t=1.9530,P0.05)。结论通过术前精心准备,术中严密监护,高龄老人无痛胃镜检查是一种比较安全的检查方式。
[Abstract]:Objective to investigate the effects of gastroscopy on arrhythmia, ST-T, blood pressure and blood oxygen saturation (SPO2) in elderly patients, and to provide scientific basis for the safety of gastroscopy. Methods the patients were investigated by questionnaire before operation, the changes of cardiac rhythm and ST-T were monitored by Holter. The blood pressure and SPO2. were recorded by ECG monitor before, during and after operation. Results 1Atrial premature beats were found in the common gastroscope group (蠂 2 + 12.410 3) and ventricular premature beats (蠂 2 + 6.758 6) were more obvious in the common gastroscope group than in the painless group (P < 0.01). (2) the changes of ST-T were significantly affected in the general gastroscopy group (蠂 2 + 6.1250 P 0.05), but not in the painless gastroscopy group (蠂 2 + 1.7857 P 0.05). 3The decrease of systolic blood pressure in patients with history of hypertension in painless gastroscopy group was significantly higher than that in patients with no history of hypertension (P 0.05); (4) under the condition of 5 L/min oxygen inhalation, there was no significant difference between SPO2 and gastroscopy in the elderly (t 1.9530). Conclusion the painless gastroscopy is a safe method by careful preparation before operation, careful monitoring during operation and painless gastroscopy.
【作者单位】：上海市江湾医院;江苏省扬中市人民医院;
【分类号】：R573

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