胃镜检查中的循环监测

Circulation monitoring during gastrointestinal endoscopy

为了提高胃镜检查的安全性，防止心血管系统并发症和意外的发生，在胃镜检查过程中进行了ECG、HR、BP和SpO2的连续监测。结果：室早发生率为16.7％，HR及BP显著升高（P＜0.001），SpO2下降十分明显（P＜0.001），特别是在胃镜插入时或插入后2分钟内最明显，显示胃镜检查中存在的潜在危险。提示应加强检查前准备、检查中的循环监测和急救处理。

Circulation monitoring (HR, BP, SpO2) were continuous-ly conducted in 30 patients during gastrointestinal endoscopy.Results: (1 ) Sinus tachycardia 87. 7% and Ventricular ex-trasystole 16. 7 %. (2)BP(kPa) and MAP(kPa) increased sig-nificantly (P <0. 001 ). (3)SpO2 Reduced, from 98%to 91% during operation. The data demonstrated the existence of pot-sential danger during gastrointestinal endoscopy, especially insertion of endoscope and the first 2 minutes of the proce- dure. The authors emphasize that for preventing the occur-rence of complications and accidents, It is imperativve to cir-culation monitoring and prepartion of emergency treatment during examination.