Gastroscopy in elderly patients with pain-free application.docVIP

 PAGE \* MERGEFORMAT 3 Gastroscopy in elderly patients with pain-free application Author: Cheng Sheng-Ping Lin Zhen-e Lu Weihong [Keywords:] Gastroscopy in elderly patients without pain Painless gastroscopy technique in the use of intraoperative sedation drugs so that patients in the conscious sedation or light sleep to reduce the stimulus-response, improve patient tolerance. Author in January 2006 to July 2007 of the 84 cases of amp;quot;80-year-old patients with painless endoscopy to examine the safety of this approach and feasibility, are reported below. A clinical data 1.1 General Information In this group, 106 cases were divided into anesthesia group and conventional endoscopy group. Anesthesia group, 84 cases, male 51 cases, female 33 cases; aged 80 to 95 years, with an average 84.2 years of age. 26 cases with hypertension, diabetes and 21 cases, atrial premature beats in 18 cases, 14 cases of coronary heart disease, chronic obstructive pulmonary disease (COPD) 12 cases, 5 cases of ventricular premature beats, atrial fibrillation in 3 cases, cirrhosis in 2 cases, old myocardial infarction in 1 case. Conventional endoscopy group of 22 cases, 12 males and 10 females, aged 80 to 88 years old, with an average 83.3 years of age. Another take over the same period amp;quot;60-year-old middle-aged Painless Gastroscopy 100 cases of sedation control group, 58 males and 42 female, aged 20 to 60 years, mean 46.5 years. Exclusion criteria: blood pressureamp;gt; 180/120mmHg, acute myocardial infarction, frequent ventricular premature beats, acute respiratory infections, asthma attacks, heart and lung failure, shock, upper gastrointestinal bleeding, acute cerebral vascular accident. 1.2 Operation Method Conventional gastroscopy preoperative preparation, anesthesia by a professional anesthesiologist implementation. Preoperative and intraoperative continuous oxygen to the nasal catheter, 4 ~ 5L/min, ECG monitor monitoring heart rate, blood pressure and blood oxyge