论文部分内容阅读
目的探讨无痛胃镜在高原原发性高血压患者胃镜检查中的实用性。方法将60例行胃镜检查的高原高血压患者随机分为无痛组和常规组,各30例。无痛组先予曲马多静脉推注,再予丙泊酚静脉推注,待睫毛反射消失后,即开始进镜;常规组仅行咽部麻醉后,即开始进镜。观察两组患者检查前、检查中、检查后收缩压(SBP)、舒张压(DBP)、心率及脉搏血氧饱和度(SpO2)的变化,无痛组还记录清醒时间。结果由于吸氧两组SpO2无明显变化(P>0.05);常规组检查中较检查前SBP、DBP升高、心率加快(P<0.05);无痛组检查中较检查前SBP、DBP、心率下降(P<0.05),检查结束后基本恢复正常。结论丙泊酚和曲马多联合应用于高原高血压患者无痛胃镜检查是可行、安全的,值得临床进一步推广。
Objective To investigate the practicability of painless gastroscopy in gastroscopy in patients with essential hypertension at high altitude. Methods Sixty patients with high altitude hypertension underwent gastroscopy were randomly divided into painless group and conventional group, with 30 cases in each group. Painless group tramadol first intravenous injection, and then propofol intravenous injection, eyelash reflex disappeared, the mirror began to enter; routine group only pharyngeal anesthesia, began to enter the mirror. The changes of systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate and pulse oxygen saturation (SpO2) were observed before and during the examination. The painless group also recorded the awake time. Results There was no significant change in SpO2 between the two groups (P> 0.05). SBP and DBP in the routine group were significantly higher than those in the normal group (P <0.05) Decreased (P <0.05), after the end of the test returned to normal. Conclusion It is feasible and safe to use propofol and tramadol in painless gastroscopy in patients with high altitude hypertension, which is worth further clinical promotion.