无痛胃镜应用于高血压患者的安全性分析.docxVIP

顽胃于酚析 2018-04-08 09:50:18中国现代医生2018年4期 刘畅 ［摘要］目的分析无痛胃镜应用于高血压患者的安全性。方法 选择2016年1月?2017年6 月在我院行胃镜检查的患者200例为研究对彖，100例患者采用普通胃镜检查为对照组，100例患者 采用无痛胃镜检查为观察组。比较两组不同时间点平均中心动脉压、心率及血氧饱和度，比较两组不 良反应及耐受情况。结果观察组在T1时间点平均动脉压有所下降，心率也有所下降，对照组在T1 时间点平均动脉压、心率显著升高，与观察组比较差异有统计学意义(P0.05)；在T2时间点，对 照组平均动脉压及心率均有所下降，但对照组仍然显著高于观察组，差异有统计学意义(Pv0.05) o 观察组无呛咳、躁动、呕吐、恶心情况发生，仅有3例有咽部不适，对照组均有恶心、咽部不适，76 例呛咳，42例躁动,73例呕吐，两组比较差异有统计学意义(P0.05) o观察组仅有3例轻微不适, 对照组有27例轻微不适，21例难以耐受，52例明显不适，两组比较差异有统计学意义(P0.05)。 结论高血压患者采用无痛胃镜检查对血流动力学影响小，不良反应少。 ［关键词］无痛胃镜；高血压；安全性；中心动脉压；血氧饱和度 ［中图分类号］R544.1； R57 ［文献标识码］B ［文章编1673-9701 (2018) 04-0088-03 ［Abstract］ Objective To an alyze the safety of pain less gastroscopy applied in hyperte nsion patie nts. Methods 200 patie nts who underwent gastroscopy exami nation in our hospital duri ng January 2016 to June 2017 were chose n as research subjects. 100 cases treated with com mon gastroscopy were set as control group, and 100 cases treated with pain less gastroscopy were set as experimental group? The mean central arterial pressure in different time points, heart rate, blood oxygen saturation, adverse react!ons and tolerance between two groups were compared? Results The mean arterial pressure and heart rate declined in experimental group at T1. And the mean arterial pressure and heart rate raised significantly in control group at T1, and the difference compared with experimental group was significant(P0.05)? Both mean arterial pressure and heart rate declined in control group at T2, but still higher than those in experimental group, and the difference was statistically significant (P0.05) ? No buking, dysphoria, vomit, nausea occurred in experimental group, and only 3 cases had throat discomfort? All patients in the control group had nausea and throat discomfort. There were 76 cases of buking, 42 cases of dysphoria, 73 cases of vomit, and there was significant differenee between the two groups (P0.05) . There were only 3 in experimental group. There were 27 cases of slight discomfort, 21