《中国期刊全文数据库》收录期刊
《中国核心期刊(遴选)数据库》收录期刊
《中文科技期刊数据库》收录期刊

外科研究与新技术 ›› 2015, Vol. 4 ›› Issue (4): 230-232.

• 论著 • 上一篇    下一篇

内窥镜面罩应用及预吸氧在老年患者行无痛胃镜检查中的效果观察

辛光怡,周丽洁   

  1. 上海市同济医院
  • 收稿日期:2015-09-14 修回日期:2015-10-22 出版日期:2015-12-28 发布日期:2016-01-05
  • 通讯作者: 辛光怡 E-mail:cyghostren@163.com

Observing the Application Effect of Endoscopic Mask and Preoxygen on Painless Gastroscopy in Elderly Patients

  • Received:2015-09-14 Revised:2015-10-22 Online:2015-12-28 Published:2016-01-05

摘要: 【摘要】 目的 评价内窥镜面罩应用及预吸氧在老年患者无痛胃镜术的应用效果。方法 将行无痛胃镜术的100例老年患者随机分为鼻导管吸氧组(A 组) 和内窥镜面罩应用及预吸氧组(B组)。 A组患者鼻导管吸氧,氧流量3L/min; B组患者内窥镜面罩下鼻导管预吸氧2/min, 氧流量3L/min,在内窥镜面罩下行胃镜检查,两组均以丙泊酚静脉注射; 脉搏血氧饱和度(SpO2)低于90%视为呼吸抑制。分别于检查前、检查中、检查后记录两组的平均动脉压( MAP) 、心率( HR) 、和脉搏氧饱和度( SpO2) ,并记录检查时间和不良反应。结果 检查中两组患者的MAP及鼻导管吸氧组的SpO2较检查前均明显下降,差异有统计学意义(P<0.05)。 两组患者检查中的SpO2存在显著差异,鼻导管吸氧组的SpO2显著低于内窥镜面罩应用及预吸氧组。此外,鼻导管吸氧组的检查时间及出现的不良反应也显著大于内窥镜面罩应用及预吸氧组(P=0.001<0.05)。结论 内窥镜面罩应用及预吸氧用于老年人无痛胃镜术,可明显增加老年患者体内氧含量,增加氧的储备及机体对缺氧的耐受能力,,稳定循环呼吸功能,具有更好的安全性。

关键词: 【关键词】 内窥镜面罩, 预吸氧, 老年, 无痛胃镜

Abstract: Abstract objective: to evaluate the application effect of endoscopic mask and pre-oxygen on the painless gastroscopy in elderly patients. Methods: 100 elderly patients with painless gastroscopy were randomly divided into two groups: In A group, patients were with 3L/min nasal catheter oxygen. In B group, patients were with 3L/min endoscopic mask oxygen and 2L/min pre-oxygen. Two groups were anesthetized with intravenous injection of propofol. Pulse oxygen saturation (SpO2) lower than 90% was as respiratory depression. Mean arterial pressure (MAP), heart rate (HR), and SpO2 were recorded in the two groups before and after the examination. The operation time and adverse reaction were also recorded. Results: The MAP in two groups and SpO2 in nasal catheter oxygen group significantly decreased during operation (P<0.05). During operation, there were significant differences in SpO2 between two groups. The SpO2 in A group was significantly lower than that in B groups. In addition, the operation time and the rate of adverse reactions were higher in A group than those in B group (P=0.001<0.05). Conclusion: the use of endoscope and the application of pre-oxygen inhalation for elderly patients with painless gastroscopy can significantly increase the oxygen content in elderly patients, increase the oxygen reserves and the body's tolerance to hypoxia. Conclusion: Application of endoscopic mask and pre-oxygen in elderly patients with painless gastroscopy can significantly increase the oxygen content of elderly patients, increase the oxygen reserves and the body's tolerance to hypoxia, stabilize the functions of circulation and respiratory and have better security

Key words: endoscopic mask, pre-oxygen, elderly patients, painless gastroscopy