摘要
目的探讨80岁以上高龄患者无痛苦胃镜检查的可行性及安全性。方法84例高龄患者为麻醉组,22例高龄患者为常规胃镜组,100例中青年患者为镇静对照组。运用小剂量异丙酚和芬太尼、阿托品静脉复合麻醉。对检查过程中血压、心率、血氧饱和度变化、检查时患者反应,胃蠕动频率及清醒时间等进行观察分析。结果高龄麻醉组检查中不适反应发生明显低于高龄常规胃镜组,麻醉组对胃镜检查的满意程度明显高于常规组。高龄麻醉组检查中血压、心率,血氧饱和度有一过性降低,但检查后迅速恢复,无严重并发症发生,而常规胃镜组检查中心率、血压明显增加。高龄麻醉组异丙酚用量较中青年镇静对照组明显减少。结论高龄患者运用小剂量异丙酚和芬太尼、阿托品静脉复合麻醉无痛苦胃镜检查是安全和舒适的,严密观察监护是高龄无痛苦胃镜检查的安全保证。
Objective To study the feasibility and safety for using anesthesia gastroscopy in aged - patients over 80 years old. Methods Selecting 84 cases of aged - patients over 80 years old as anesthesia group（ group 1 ） , 22 cases of aged - patients over 80 years old as normal gastroscopy group（ group 2） and 100 cases of young- middle age as anesthesia control group（ group 3 ）. Low dose propofol and fentanyl combined atropine were injected into venous in anesthesia gastroscopy. The BP, HR, SpO2 , patients reactions during gastroscopy, stomach peristalsis rates, awake time were detected before, during and after gastroscopy. Results Patients in group 1 felt much less discomfortable than those in group 2. Anesthesia group felt much satisfactorily than normal gastroscopy group. The BP, HR, SpO2 in group 1 were decreased transitorily during examination and resumed rapidly after examination. There were no severe complications in anesthesia gastroscopy. However, the BP and HR were increased obviously in normal gastroscopy group. The dosage of propofol in group 1 was much less than that in group 3. Conclusions The use of anesthesia gastroscopy with low dose propofol and fentanyl combined atropine intravenously in aged - patients over 80 years old is safe and comfortable.
出处
《医学研究杂志》
2008年第3期107-109,117,共4页
Journal of Medical Research
关键词
高龄
胃镜
异丙酚
芬太尼
阿托品
麻醉
Aged- patient
Gastroscopy
Propofol
Fentanyl
Atropine
Anesthesia
