老年患者胃镜检查应用地西泮和眯达唑仑的护理配合

The effect of nursing combination in gastroscopy with intravenous anesthesia combined Diazepam with Midazolam in elderly patients

目的探讨地西泮联合咪达唑仑静脉麻醉下进行无痛胃镜检查术的护理配合工作，以提高老年患者在胃镜检查中的耐受性。方法对845例老年患者在无痛胃镜检查中使用地西泮联合咪达唑仑，对检查过程进行生命观察并加强护理配合。结果全部患者均完成检查（治疗），无患者出现并发症，患者在检查完毕后，10min内均恢复清醒。患者检查前、中、后血压、脉搏、血氧饱和度变化不大（P〉0．05）；镇静程度2级718例（84．97％）；术后722例（85．44％）全遗忘，794例（93．96％）表示满意。结论护理配合工作应贯穿无痛胃镜检查过程，充分的术前准备、严密的术中观察及细心的术后护理是无痛胃镜检查成功的关键。

Objective To explore the effect of nursing combination in gastroscopy with intravenous anesthesia combined Diazepam with Midazolam in elderly patients, in order to enhance the security for older patients with gastroscopy. Methods 845 cases of elderly patients with painless gastroseopy used intravenous anesthesia combined Diazepam with Midazolam. In the examine process,we monitored vital sign and reinforced nursing combination. Results All patients had completed the inspection（treatment） with no complication, they were conscious after the examination in 10 minutes. The blood pressure, pulse,and saturation of blood oxygen of all cases changed little （ P 〉 0. 05 ）. 718 cases （ 84.97 % ） were at sedation level of stage 2 ; 722 eases （ 85.44% ） were full-forgotten after inspection, and 794 cases （ 93.96% ） expressed satisfaction. Conclusion The nursing work should be permeated with the process of painless gastroscopy. It＇ s the key to the success of painless endoscopy which include adequate preoperative preparation and meticulous intraoperative observation and careful postoperative care.