异丙酚在高龄患者胃镜诊疗中应用效果分析

目的探讨异丙酚在75岁以上患者胃镜诊疗中的效果.方法选取行胃镜检查的75岁患者100例,随机分为普通检查组(A组)和异丙酚组(B组),每组各50例.分别监测所有患者术中检查时间及检查成功率,记录检查血氧饱和度(%)、收缩压(mm Hg)、舒张压(mm Hg)、心率(次/min),记录术中胃镜医生及麻醉医生的主观评价(VAS)、咽部不适感、不良反应以及患者满意度.结果 A组在检查后心率、收缩压、舒张压升高,B组变化较小;不良反应B组最少;自我感受不适及轻度不适者A组最高;检查时间A组用时最长,B组最短;满意度B组最高.结论丙泊酚在胃镜检查中能提供满意的胃镜诊疗效果,可以减少75岁以上人群的不良反应,增加患者的依从性,提高患者满意率,值得临床推广使用.

Application Effect of Propofol on Patients over 75 Years Old with Gastroscope Diagnosis

Objective To explore propofol effect of endoscopic treatment on patients over 75 years old. Method 100 patients over 75 years old were randomly divided into ordinary inspection group ( A ) , propofol group ( group B) ,50 patients in each group. Patients were detected the time and the success rate. Record check oxygen saturation (%) ,systolic blood pressure ( mmHg) ,diastolic blood pressure ( mmHg) ,heart rate ( time/min) . Records intraoperative and enter, endoscopy doctors and anesthesiologists subjective evaluation ( VAS ) throat discomfort,adverse reactions,as well as patient satisfaction. Results The heart rate,systolic and diastolic blood pressure in group A after the inspection increased,minor changes in group B;the least adverse reaction is group B;the highest self feel discomfort and mild discomfort in group A;check time group A with the longest time,Group B is the shortest;the highest number of satisfactory in group B. Conclusion Propofol for gastroscopy can provide satisfactory results, can reduce adverse reactions in people over 75 years old, increase patient compliance,improve patient satisfaction ,it is worth clinical promotion.