论文部分内容阅读
目的:研究无痛消化内镜在高龄老年患者中的应用效果。方法:从2015年1月到2015年9月期间,在我院进行消化内镜手段检查的高龄老年患者中随机选取80例,平均分成观察组和对照组,每组患者40例。对对照组患者采取常规消化内镜治疗,对观察组患者采取无痛消化内镜治疗,对两组患者的临床治疗效果、操作情况和满意度进行比较。结果:40例观察组患者中出现并发症的患者为11例,其中心率异常患者7例,咳呛患者4例,并发症发生率为27.5%。对照组患者中出现并发症的患者为19例,其中心率异常患者13例,喉痉挛患者1例,咳呛患者5例,并发症发生率为47.5%。管擦组患者不良反应率小于对照组患者,具有统计学差异(P<0.05)。观察组患者满意率92.5%大于对照组患者满意率65%,两者具有统计学差异(P<0.05)。结论:在对高龄患者进行消化内镜治疗时,采用无痛消化内镜治疗效果更好,通过麻醉药物可以减少患者疼痛感,提高患者满意率,值得临床推广。
Objective: To study the effect of painless digestion endoscopy in elderly patients. Methods: From January 2015 to September 2015, 80 randomly selected elderly patients with digestive endoscopy in our hospital were divided into observation group and control group, with 40 cases in each group. The patients in the control group were treated by conventional digestive endoscopy, and the patients in the observation group were treated by painless digestion endoscopy. The clinical effects, operation and satisfaction of the two groups were compared. Results: Among the 40 patients in observation group, 11 patients had complications. Among them, 7 patients had abnormal heart rate and 4 patients had cough choking. The complication rate was 27.5%. The control group of patients with complications in 19 patients, including 13 cases of abnormal heart rate, laryngospasm in 1 case, cough choke patients in 5 cases, the complication rate was 47.5%. The rate of adverse reactions in the tube wipe group was less than that in the control group, with statistical difference (P <0.05). The satisfaction rate of patients in the observation group was 92.5%, which was significantly higher than that of the control group (65%), the difference was statistically significant (P <0.05). Conclusion: In the elderly patients with digestive endoscopy, painless digestion endoscopic treatment is better, through the anesthetic drugs can reduce pain and improve patient satisfaction, is worthy of clinical promotion.