高龄人群常规胃镜与无痛胃镜检查的护理要点分析  

Analysis of nursing points for routine gastroscopy and painless gastroscopy in elderly people

作　　者：张雪萍 Zhang Xueping(The People's Hospital of Changshou District,Chongqing City 401220)

机构地区：[1]重庆市长寿区人民医院,401220

出　　处：《中国社区医师》2018年第11期162-162,164,共2页Chinese Community Doctors

摘　　要：目的:探讨高龄人群常规胃镜与无痛胃镜检查的疗效和不良反应,分析护理要点。方法:收治高龄患者200例,分为试验组和对照组。试验组采用无痛胃镜检查,对照组采用常规胃镜检查,比较两组不良反应、满意度和耐受性。结果:试验组头晕发生率高于对照组(P<0.05),躁动发生率低于对照组(P<0.05)。两组心率、血压、恶心及氧饱和度异常等不良反应发生率差异无统计学意义(P>0.05)。患者可耐受无痛胃镜的比例高于常规胃镜,两组患者满意度差异无统计学意义(P>0.05)。结论:对于>80岁的高龄人群,无论进行常规胃镜或无痛胃镜检测,在手术期间进行密切的生命体征监测是能够及时发现和控制不良事件的保障。Objective:To investigate the efficacy and adverse reactions of conventional gastroscopy and painless gastroscopy in elderly people,to analyze the main points of nursing.Methods:200 elderly patients were selected.They were divided into the experimental group and the control group.The experimental group was given painless gastroscopy.The control group was given routine gastroscopy.We compared the adverse reactions,satisfaction and tolerance of the two groups.Results:In the experimental group,the incidence of dizziness was higher than that of the control group(P<0.05),and the incidence of agitation was less than that of the control group(P<0.05).There was no significant difference between groups of heart rate,blood pressure,nausea and abnormal oxygen saturation(P>0.05).The proportion of patient's tolerance to painless gastroscope was higher than that of conventional gastroscope,and there was no significant difference between groups of patients'satisfaction(P>0.05).Conclusion:For elderly people over 80 years old,whether they undergo routine gastroscopy or painless gastroscopy,close monitoring of vital signs during operation was a guarantee for timely detection and control of adverse events.

关 键 词：高龄人群 无痛胃镜 常规胃镜 安全性 护理 

分 类 号：R473.5[医药卫生—护理学]