探讨无痛苦胃镜检查在高血压患者中的应用  

Explore the Application no Pain Endoscopy in Patients with Hypertension

作　　者：周静 

机构地区：[1]宜兴市张渚人民医院消化内科,江苏宜兴214231

出　　处：《医学信息》2012年第10期116-117,共2页Journal of Medical Information

摘　　要：目的探讨无痛苦胃镜检查在高血压患者中的应用。方法回顾性分析2006年4月-2011年8月我院住院的高血压胃镜受检者38例的临床资料。结果使用无痛苦胃镜检查的患者术中收缩压由高血压下降至正常值范围，心率下降，但均在正常值范围内，胃镜操作时间显著缩短．不良反应明显减少，患者更容易接受。结论在高血压患者中行常规胃镜检查时存在引起心率失常、心脏猝死及脑卒中等严重并发症的可能．而芬太尼一异丙酚及咪唑安定一异丙酚联合应用的无痛苦胃镜检查则降低了这种可能性，从而更加安全可靠。Objective To explore the pain-free gastroscopy in hypertensive patients. Methods A retrospective analysis of the clinical data of 38 cases from April 2006 to August 2011 our hospital hypertension gastroscope subjects. Results painless gastroscopy patients systolic blood pressure hypertension decreased to the normal range, heart rate decreased, but were within the normal range, endoscopy operation time was significantly shortened significantly reduce adverse reactions, patients are more likely to accept. Conclusion The presence of in hypertensive patients BOC conventional gastroscopy cause cardiac arrhythmias, sudden cardiac death, stroke and other serious complications may, and fentanyl - propofol and midazolam painless gastroscopy - propofol joint application reduce this possibility, which is more secure and reliable.

关 键 词：无痛苦胃镜 高血压 

分 类 号：R44[医药卫生—诊断学]