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目的通过比较高龄患者在清醒状态下经鼻胃镜检查前、检查中的生命体征的动态变化及观察患者术中、术后的不良反应,评价经鼻胃镜在高龄患者检查中的安全性及耐受性。方法对80例≥80岁患者在清醒状态下施行经鼻胃镜检查前、检查中的血压、心率、呼吸频率、血氧饱和度进行动态检测,并观察检查中患者的恶心、呕吐、鼻腔疼痛及出血的不良反应。结果所有患者检查中均未出现明显呕吐症状,出现恶心不适7例,鼻腔疼痛5例,鼻腔少量出血2例。动态观察检查前及检查中的血压、心率、呼吸频率、血氧饱和度变化比较差异无统计学意义(P>0.05)。结论经鼻胃镜在高龄患者中检查安全性高及耐受性好。
Objective To evaluate the safety and tolerability of transnasal gastroscopy in the elderly patients by comparing the dynamic changes of vital signs before and after nasal gastroscopy in elderly patients and observing the intraoperative and postoperative adverse reactions Sex. Methods The blood pressure, heart rate, respiratory rate and oxygen saturation of 80 patients ≥80 years of age under sober condition before and after the operation of nasal gastroscopy were detected dynamically. The patients were observed for nausea, vomiting, nasal pain and Adverse reactions to bleeding. Results No vomiting was observed in all the patients. There were 7 cases of nausea and discomfort, 5 cases of nasal pain and 2 cases of nasal bleeding. Dynamic observation before and during the examination of blood pressure, heart rate, respiratory rate, oxygen saturation and no significant difference (P> 0.05). Conclusion Nasal endoscopy is safe and well tolerated in elderly patients.