老年冠心病患者心电图监护下的胃镜检查

中华老年多器官疾病杂志 Pub Date : 2011-01-01 DOI:10.3724/sp.j.1264.2011.00013

Fu Wanfa

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引用次数: 0

摘要

目的通过监测老年冠心病患者手术过程中生命体征的变化，评价食管胃内镜治疗老年冠心病患者的安全性。方法将60例60岁以上接受食管胃内镜检查的患者分为冠心病组(ST-T轻度改变或有心绞痛或陈旧性心肌梗死病史，但无呼吸系统疾病)和对照组(无心脏疾病)，每组30例。比较两组患者在食管内镜和胃内镜检查时的心率、血压、血氧饱和度(SpO_2)和心电图。结果两组患者术中心率均显著升高(P0.05)，其中冠心病组差异大于对照组(P0.05)。两组患者血压均升高(P0.05)，两组间差异无统计学意义(P0.05)。术中冠心病组SpO_2明显降低(P0.05)，但与对照组比较无显著差异(P0.05)。两组患者术中均发生心律失常，但无危险心律失常发生。冠心病组ST-T改变6例，术后均恢复正常。结论术前做好充分准备，术中必要时进行心电图监测，老年冠心病患者行食管胃内镜检查是安全的。

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Gastroscopy under electrocardiographic monitoring for elderly patients with coronary heart disease

Objective To assess the safety of esophageal and gastric endoscopy for elderly patients with coronary heart disease (CHD) by monitoring the changes of their vital signs during operation process.Methods A total of 60 patients over 60 years old accepting esophageal and gastric endoscopy were divided into CHD group(with mild ST-T change or history of angina or old myocardial infarction but without respiratory diseases) and control group(without heart diseases),with 30 in each group.The heart rate,blood pressure,oxygen saturation(SpO_2) and electrocardiogram during performance of esophageal and gastric endoscopy were compared between the two groups.Results Heart rate was significantly increased during operation in both groups(P0.05),and the variation in CHD group was greater than that in control group(P0.05).Blood pressure was also increased in both groups(P0.05) and there was no significant difference between two groups(P0.05).SpO_2 was significantly decreased in CHD group(P0.05) during operation but with no significant difference compared with control group(P0.05).Arrhythmia,but no dangerous arrhythmia, occurred in both groups during operation.In addition,there were 6 cases with ST-T changes in CHD group and all cases recovered to normal after operation.Conclusion With full preparation before operation and electrocardiographic monitoring if necessary during operation,esophageal and gastric endoscopy is safe for elderly patients with CHD.

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来源期刊

中华老年多器官疾病杂志

自引率

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发文量

3039

期刊介绍： Chinese Journal of Multiple Organ Diseases in the Elderly (monthly) is a medical academic journal under the supervision of PLA General Hospital, sponsored by PLA General Hospital Medical Innovation Research Department, National Clinical Medical Research Center for Geriatric Diseases (PLA General Hospital), and Department of Cardiovascular Medicine of the Sixth Medical Center of PLA General Hospital, and publicly issued at home and abroad. This journal was founded in June 2002 and is a Chinese Science and Technology Paper Statistical Source Journal (China Science and Technology Core Journal), and is included in major domestic retrieval systems and well-known domestic and foreign retrieval systems such as the American Chemical Abstracts. As the only academic journal in China that reflects multi-organ diseases in the elderly, Chinese Journal of Multiple Organ Diseases in the Elderly mainly exchanges the diagnosis and treatment experience and lessons of cardiovascular diseases in the elderly, especially cardiovascular diseases in the elderly combined with other diseases, diseases of more than two organs in the elderly, and other multiple diseases in the elderly, explores their pathogenesis and effective diagnosis and treatment measures, and focuses on reporting the latest clinical, basic and preventive achievements and experiences in the research of the above diseases in my country with innovative significance; the main readers are medical, scientific research and teaching personnel engaged in geriatric cardiology and (or) geriatric medicine and related diseases. The main columns include expert comments, special forums, clinical research, basic research, clinical pharmacy, case reports, new technologies and methods, clinical pathology discussions, reviews, academic trends, expert popular science lectures, etc.