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目的探讨无痛胃镜检查对老年人的身心影响及胃镜检查麻醉方式的选择问题。方法将在我院接受胃镜检查的65岁以上老年患者,按麻醉方法分成无痛组和普通组两组。观察患者术前情绪、术前、术中恶心、呕吐反应及心率、血氧饱和度的变化,和并发症的发生情况。结果无痛组发生不良反应率明显低于普通组,具有显著性差异(P<0.01);但某些严重不良反应的发生率无痛组要高于普通组。结论无痛胃镜检查能显著降低老年患者恐惧感及恶心、呕吐症状,无痛组检查过程、心率相对平稳,但可引起呼吸抑制、血氧饱和度下降,应该严格掌握适应证。
Objective To investigate the physical and psychological effects of painless gastroscopy on the elderly and the choice of endoscopic anesthesia. Methods The elderly patients over 65 years old undergoing gastroscopy in our hospital were divided into two groups according to anesthesia: painless group and normal group. Preoperative mood, preoperative, intraoperative nausea, vomiting and heart rate, oxygen saturation changes, and complications were observed. Results The rate of adverse reactions in painless group was significantly lower than that in normal group (P <0.01). However, the incidence of some serious adverse reactions in painless group was higher than that in general group. Conclusion Painless gastroscopy can significantly reduce the elderly patients with fear and nausea and vomiting symptoms, painless group examination process, the heart rate is relatively stable, but can cause respiratory depression, decreased oxygen saturation should be strictly controlled indications.