老年高血压患者无痛胃镜检查安全性分析  

Analysis on safety of painless gastroscopy in senile patients with hypertension

作　　者：何治军[1] 宁敏曼[1] 王孟仙[1] 王忠[1] 

机构地区：[1]重庆市第五人民医院消化内科,重庆400062

出　　处：《临床和实验医学杂志》2015年第5期420-423,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨老年高血压患者行无痛胃镜检查的安全性。方法选取2013年7月至2014年7月接受胃镜检查的老年高血压患者120例,随机将其分为研究组(60例)和对照组(60例)。研究组患者行无痛胃镜检查,对照组患者行常规胃镜检查,全程监测并记录比较两组患者胃镜检查前、中、后的心率(HR)、收缩压(SBP)、舒张压(DBP)及指末血氧饱和度(Sa O2),并统计两组患者检查过程中的不良反应和舒适度情况。结果胃镜检查前:两组患者HR、SBP、DBP、Sa O2差异无显著性(P>0.05)。胃镜检查中:对照组患者HR、SBP、DBP显著高于检查前(P<0.05),而研究组HR、SBP、DBP显著低于检查前(P<0.05)两组患者Sa O2显著低于检查前(P<0.05),两组患者Sa O2组间比较差异无显著性(P>0.05)。胃镜检查后:两组患者的HR、BP和Sa O2同检查前比较差异无显著性(P>0.05),两组患者的HR、SBP、DBP和Sa O2组间比较差异均不显著(P>0.05)。对照组患者不良反应发生率显著高于研究组(P<0.05),而对照组患者的舒适度显著低于研究组(P<0.05)。结论对于老年高血压人群而言,无痛胃镜检查是一种安全性佳、舒适性好的检查方法,可临床推广应用。Objective To explore the safety of painless gastroscopy in senile patients with hypertension. Methods 120 elderly patients with hypertension undergoing gastroscopy during July 2013 to July 2014 were randomly divided into study group（60 cases）and control group（60 cases）. Patients in study group were undergone routine gastroscopy. The whole monitoring and recording were compared between these two groups＆amp;nbsp;before gastroscopy,in and after gastroscopy,the heart rate（ HR）,SBP,DBP and peripheral oxygen saturation（ SaO2 ）were examined and com-pared. The adverse reactions in examination process and comfortable condition were statistically analyzed between these 2 groups. Results The difference in HR,SBP,DBP and SaO2 in patients of these 2 groups was not significant（ P ﹥0. 05）. HR,SBP and DBP in patients with gastros-copy were significantly higher than those before gastroscopy（ P ﹤0. 05）. HR,SBP and DBP in study group were significantly lower（ P ﹤0. 05） than those before examination. SaO2 in patients of 2 groups was significantly lower than before check（ P ﹤0. 05）. The difference in SaO2 be-tween these 2 groups was not significant（ P ﹥0. 05）. There was no significant difference in HR,SBP,DBP and SaO2 in patients of 2 groups be-fore the inspection of endoscopy（ P ﹥0. 05）. The difference in HR,SBP,DBP and SaO2 between patients of these 2 groups was not significant （ P ﹥0. 05）. The rate of adverse reactions in control group was significantly higher than that of patients in study group（ P ﹤0. 05）. The degree of comfort in patients of control group was significantly lower than that of patients in study group（ P ﹤0. 05）. Conclusion In elderly hyperten-sive patients,painless gastroscopy is a good examination method with safety and comfort,and it may be promoted for clinical application.

关 键 词：老年人 高血压病 无痛胃镜检查 安全性 

分 类 号：R544.1[医药卫生—心血管疾病] R573[医药卫生—内科学]