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目的探讨胃镜检查对高龄老人心律、ST-T、血压、血氧饱和度(SPO2)、的影响,为老年人安全性地接受胃镜检查提供科学依据。方法患者术前接受问卷调查,Holter监测心律及ST-T改变,心电监护仪记录患者术前、术中、术后的血压及SPO2。结果 1高龄老人在接受胃镜检查时,普通胃镜组插镜过程中发生房性早搏(χ2=12.4103,P<0.01)、室性早搏(χ2=6.7586,P<0.05)较无痛胃镜组明显;2对于ST-T改变,普通胃镜组有明显影响(χ2=6.1250,P<0.05),而无痛胃镜组则无明显影响(χ2=1.7857,P>0.05);3无痛胃镜组有高血压病史的患者收缩压下降的幅度较无高血压病史的患者显著(t=3.8335,P<0.05);4在吸氧5 L/min的情况下,SPO2在高龄老人胃镜检查时差异无显著性(t=1.9530,P>0.05)。结论通过术前精心准备,术中严密监护,高龄老人无痛胃镜检查是一种比较安全的检查方式。
Objective To investigate the effect of gastroscopy on the heart rate, ST-T, blood pressure and oxygen saturation (SPO2) of the elderly, and to provide a scientific basis for the elderly to receive gastroscopy safely. Methods Patients underwent preoperative questionnaire, Holter monitoring heart rate and ST-T changes. ECG monitor recorded the preoperative, intraoperative and postoperative blood pressure and SPO2. Results Atrial premature beats (χ2 = 12.4103, P <0.01) and ventricular premature beats (χ2 = 6.7586, P <0.05) were significantly more frequent in the elderly patients undergoing gastroscopy than those in the painless gastroscope group. 2 had no significant effect on ST-T changes in general gastroscope group (χ2 = 6.1250, P <0.05), but no effect in gastroscope group (χ2 = 1.7857, P> 0.05) The systolic blood pressure decreased significantly in the patients with history as compared with those without history of hypertension (t = 3.8335, P <0.05) .4 In the case of 5 L / min of oxygen, there was no significant difference t = 1.9530, P> 0.05). Conclusion Through preoperative careful preparation, intraoperative intensive care, elderly patients with painless gastroscopy is a safer way to check.