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目的探讨老年患者无痛胃肠镜联合检查对消化道疾病诊断与治疗的临床评估。方法 70岁以上老年患者114例,分别行无痛胃肠镜联合检查(联合检查组)38例、无痛胃镜组42例、无痛肠镜组34例。记录3组患者内镜完成情况,密切观察患者血压、呼吸、心率、动脉氧分压及呛咳等不良反应发生情况。结果患者检查成功率及术后满意均达100.0%。无痛胃镜组有1例出现血氧饱和度持续明显下降,立即停止用药和内镜操作,经托下颌给氧及辅助呼吸后症状很快好转。联合检查组有2例患者出现一过性的呼吸抑制,1例出现心率减慢及血压异常。无痛肠镜组中无患者出现呛咳,有1例出现血氧饱和度下降及心率减慢。各组间不良反应发生率差异无统计学意义。结论老年人行无痛胃肠镜联合检查安全可行。
Objective To investigate the clinical evaluation of the diagnosis and treatment of gastrointestinal diseases in painless gastrointestinal endoscopy in senile patients. Methods A total of 114 elderly patients over the age of 70 were included in the study. Painless gastrointestinal endoscopic examination (38 cases), painless gastroscopy group (42 cases) and painless colonoscopy group (34 cases) were performed respectively. Record endoscopic completion of 3 groups of patients, closely observe the patient’s blood pressure, respiration, heart rate, arterial oxygen pressure and cough and other adverse reactions. Results The success rate of patients and postoperative satisfaction reached 100.0%. 1 case of painless gastroscopy group showed a continuous decline in oxygen saturation, medication and endoscopic treatment immediately stopped by the mandibular oxygen and assisted breathing symptoms quickly improved. Two patients in the Joint Inspection Unit experienced transient respiratory depression and one had a slowed heart rate and abnormal blood pressure. In the painless colonoscopy group, no patients coughed, and in one case, the oxygen saturation decreased and the heart rate slowed down. There was no significant difference in the incidence of adverse reactions among the groups. Conclusion The painless gastrointestinal endoscopy combined with the elderly is safe and feasible.