老年高血压患者胃镜检查时生命体征的监测分析

Analysis of vital sign in gastroscopy in the elderly patients with hypertension

目的观察老年高血压患者胃镜检查时心率、血压、血氧饱和度、心电图等变化,探讨高血压患者行胃镜检查的安全性。方法分析老年高血压患者及血压正常患者胃镜检查时心率、血压、血氧饱和度、心电图的变化,并进行比较。结果高血压组与对照组的心率于胃镜检查中均较检查前升高(P<0·05),组间比较亦有统计学差异(P<0·01)。2组收缩压和舒张压检查中与检查前相比均有升高,血氧饱和度均有不同程度的下降(P<0·05),但组间比较无统计学差异。2组于检查中均有心律失常发生,但无危险性心律失常。结论血压、心率控制在安全范围内,老年高血压患者行胃镜检查是安全的。

Objective To study the safety of gastroseopy in elderly patients with hypertension by monitoring the variety of heart rate, blood pressure, saturation of blood oxygen and electrocardiogram. Methods During the process of gastroscopy, the heart rate, systolic blood pressure（ SBP）, diastolic blood pressure（ DBP）, saturation of blood oxygen and electrocardiogram of elderly patients with or without hypertension were monitored and compared. Results Heart rate was increased during gastroscopy in the two groups（ P 〈 0. 05 ） , and there was significant difference between the two groups （P 〈 0. 01 ）. SBP and DBP were increased and the saturation of blood oxygen was decreased significantly in the two groups（ P 〈 0. 05 ）. But there were no significant difference in blood pressure and saturation of blood oxygen between the two groups. Arrhythmia occurred in both groups during gastroscopy. Conclusions Gastroscopy is safe in elderly patients with hypertension if blood pressure and heart rate were controlled well.