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目的观察胃镜对老年患者心电图变化的影响。方法对比分析60岁以上老年患者及60岁以下非老年患者行胃镜检查时的心电图变化结果。结果两组术前心电图异常情况无显著性差异;术中两组心电图变化显示心率增快,室性早搏、室上性早搏或ST-T改变的发生率,老年组明显高于非老年组且有显著性差异;术后心电图均可恢复至正常水平。结论老年患者胃镜检查术中易出现心电图变化甚至可诱发心脏意外等不良事件。接受胃镜检查时应注意加强术中监控并及时做好各种心血管不良事件的应急救治。
Objective To observe the effect of gastroscope on electrocardiogram changes in elderly patients. Methods The results of electrocardiogram (ECG) changes during endoscopy in elderly patients over 60 years old and non-elderly patients under 60 years old were compared and analyzed. Results There was no significant difference between the two groups in preoperative electrocardiogram abnormalities. The change of electrocardiogram in the two groups showed that the heart rate increased, premature ventricular contractions, supraventricular premature beats or the incidence of ST-T changes were significantly higher in the elderly group than in the non-elderly group There was a significant difference; postoperative ECG can be restored to normal levels. Conclusion Electrocardiogram changes may occur in the elderly patients during gastroscopy and may even lead to adverse events such as cardiac accidents. Gastroscopy should pay attention to strengthening intraoperative monitoring and promptly do a good job in a variety of cardiovascular adverse events of emergency treatment.