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目的观察老年人无痛胃镜检查的安全性。方法择取消化系统疾病老年患者120例作为本次研究对象,依据临床诊断方法的不同,将其分为行无痛胃镜检查的观察组与应用常规胃镜检查的对照组,每组60例。比较2组患者检查前、检查中、检查后的收缩压(SBP)、舒张压(DBP)、心率(HR)、指末血氧饱和度(Sa O2)的变化,比较2组患者检查中的不良反应与舒适度。结果检查前与检查后2组血压、HR、Sa O2比较差异均无统计学意义(P>0.05);检查中2组患者Sa O2低于检查前(P<0.05),但组间比较无明显差异(P>0.05);检查中观察组血压、HR明显低于检查前,对照组血压、HR高于检查前,差异均有统计学意义(P<0.05);检查中2组血压、HR比较差异均有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,舒适度高于对照组,差异均有统计学意义(P<0.05)。结论老年消化系统疾病患者行无痛胃镜检查具有安全、有效且舒适性好,值得临床推广应用。
Objective To observe the safety of painless gastroscopy in the elderly. Methods A total of 120 elderly patients with digestive diseases were enrolled in this study. According to the different clinical diagnostic methods, they were divided into two groups: observation group with painless gastroscopy and control group with conventional gastroscopy, 60 cases in each group. The changes of SBP, DBP, HR and Sa O2 before, during and after the operation were compared between the two groups, and the changes of the oxygen saturation Adverse reactions and comfort. Results There was no significant difference in blood pressure, HR and Sa O2 between the two groups before and after the examination (P> 0.05). The SaO2 in the two groups was lower than that before the examination (P <0.05), but there was no significant difference between the two groups (P> 0.05). The blood pressure and HR of the observation group were significantly lower than those of the control group before and after the test (P <0.05). The blood pressure and HR of the two groups were significantly different The differences were statistically significant (P <0.05). The total incidence of adverse reactions in the observation group was lower than that of the control group, and the comfort was higher than that of the control group (P <0.05). Conclusion Painless gastroscopy in elderly patients with digestive diseases is safe, effective and comfortable, which is worthy of clinical application.