高血压患者行无痛胃镜的临床探究.docVIP

精品论文 参考文献 高血压患者行无痛胃镜的临床探究 陈建华（成都铁路分局医院消化内科 610081） 【摘要】目的：探究高血压患者行无痛胃镜提高依从性及降低并发症发作风险的途径。方法：将278名患有高血压且同时因各种相应症状亟需进行胃镜检查的病人随机分为两组。其中探究组161人进行无痛胃镜检查，比照组117人实施传统胃镜检查。在整个围检查期严密观察及测定所有病例其血压、心率、呼吸及血氧饱和度的变化。结果：探究组患者对无痛胃镜满意率达91.93%，比照组对传统胃镜的满意率仅为10.26%。两组血氧饱和度在全程无明显差异，探究组在处置中时其血压、心率、呼吸均下降明显。比照组其临床指标情况与探究组截然相反。结论：复合麻醉所营造的无痛效果可使高血压患者成功接受胃镜检查，规避了高血压可能衍伸的发病风险。 【关键词】高血压 无痛胃镜 复合麻醉 【中图分类号】R44 【文献标识码】A 【文章编号】2095-1752（2013）07-0128-02 【Abstract】Objective: To explore the hypertension patients with painless gastroscope to improve compliance and ways to reduce complications risk. Methods: 278 patients with hypertension and patients were divided at the same time due to various symptoms corresponding to gastroscopy into two groups. The research group of 161 people for painless gastroscopy, contrast group 117 received traditional gastroscopy. Changes of blood pressure, heart rate, respiration and blood oxygen saturation in the close observation of the whole round inspection period and determination of all cases. Results: the group of painless gastroscopy patients satisfaction rate of 91.93%, compared to traditional endoscopy group satisfaction rate was only 10.26%. The two groups had no significant difference in blood oxygen saturation in the disposal of the whole group, the blood pressure, heart rate, respiration decreased significantly. According to the clinical characteristics and explore the group group of opposite. Conclusion: anesthesia analgesia effect create can make hypertension patients successfully received gastroscopy, avoid the risk of hypertension extension. 【Key words】hypertension painless gastroscopy anesthesia 胃镜是消化内科的常用诊断方法之一。进行胃镜检查是将纤细且柔软的管子自口腔经消化道伸入胃内，技师借助连接在胃镜头端的摄像头及外面的显示器可清晰观察到食管、胃及十二指肠的状况，而且不会遗漏微小病变[1]。胃镜自从问世以来，以其高效的诊断效率迅速在各医疗机构普及开来。在以往，早期的传统胃镜会为患者带来极大的痛苦，以至于患者在检查中途呕恶难忍、饱受折磨，其依从性完全无从谈起，以至于医师不得不中断检查、最终影响了医师对患者病情的诊断[2]。而行胃镜检查的患者若是还合并有高血压，其从各个渠道所获取的、关于胃镜检查极其痛苦的信息，会使很多患者对进行胃镜检查强烈排斥，心存恐惧。患者携有如此心态进行胃镜检查