876 cases of elderly and frail patients with nasal endoscopy Clinical application of.docVIP

 PAGE \* MERGEFORMAT 6 876 cases of elderly and frail patients with nasal endoscopy Clinical application of [Abstract] Objective To observe the elderly and frail patients with nasal endoscopy with the pain of the performance and check vital signs. Methods of ultrafine diameter nasal gastroscope inserted through the nose to the duodenum, complete gastroscopy to observe the inspection and examination process before the vital signs of patients, and patients in the inspection process and to talk, ask patients about their feelings. Results in 876 cases of patients, in addition to 5 cases of turbinate hypertrophy and diverted due to the oral examination, all patients were successful completion of endoscopy, a small number of patients have slightly lower heart rate and the nasal mucosa with mild injury, most patients no obvious gag reflex. Conclusions of nasal endoscopy in diameter ultra-fine do not touch upon the nose into the esophagus and stomach to reach the base of the tongue can reduce the patient’s throat reflection, can effectively prevent nausea and vomiting, reduce patient discomfort and pain during examination. [Keywords:] gag reflex nasal endoscopy gastroscopy elderly and frail patients December 2007 to November 2008, our department application PENTAX EG-1540-type of 876 cases of nasal endoscopy frail elderly patients gastroscopy, endoscopy diameter for fine, check the patient less pain now Check the experience are summarized below. 1 Clinical data 1.1 General Information December 2007 to November 2008, I Division of the traditional microscopic examination of 876 cases high risk elderly and frail patients with nasal endoscopy, 876 cases, male 573 cases, 303 cases of women , aged 43 to 85 years, mean age (64.5 + -0.3 years old. its center were 531 cases of pulmonary insufficiency, 316 patients over the age of 70, esophageal stricture in 24 cases, 5 cases of trismus. 1.2 routine gastroscopy examination preparation method [1], patients takin