Safety analysis of gastrointestinal endoscopy in elderly patients undergoing intravenous anesthesia / 中国基层医药

ABSTRACT

Objective To investigate the safety of gastrointestinal endoscopy in elderly patients undergoing intravenous anesthesia .Methods 130 patients undergoing gastrointestinal endoscopy were selected .The patients were divided into the elderly group ( A group)65 to 75 years old,65 cases,and young group ( B group)30 to 65 years old,65 cases.The vital signs ( including heart rate, blood pressure, blood oxygen saturation ), anesthesia time, consciousness recovery time,dosage, patients 'experience and adverse reaction were analyzed in the same group of fentanyl combined with propofol intravenous anesthesia .Results (1)Intravenous anesthesia,the blood pressure,heart rate of the two groups decreased in varying degrees ,compared between before examination and during examination in the two groups,there were no statistically significant differences in A group (t=0.11,0.67,0.73,all P>0.05),and there were no statistically significant differences in B group (t =0.27,0.83,1.82,all P>0.05).In the surgery, 1 case of heart rate dropped to 50 times/min below in A group and B group;In A group,1 case of SBP decreased by 30％ of baseline blood pressure before examination ,and B group did not show 30％reduction in SBP before reaching baseline blood pressure .Intravenous anesthesia had greater impact on SpO 2 in elderly patients , and with age increased,the incidence increased, after symptomatic treatment, SpO2 immediately rebounded, and successfully completed the inspection.(2)In A group,the anesthesia time was (16.75 ±5.76)min,the conscious recovery time was (3.51 ±0.69)min,the propofol dosage was (72.43 ±19.58)mg.In B group,the anesthesia time was (15.96 ± 6.58)min,conscious recovery time was (2.98 ±0.71)min,the propofol dosage was (71.67 ±20.49)mg,there were no statistically significant differences between the two groups (t=1.85,1.57,1.96,all P>0.05),but the amount of A group was more than that of B group,indicated that with age increased,the dosage decreased.(3)The patients of the two groups underwent intravenous anesthesia under the gastrointestinal endoscopy could achieve satisfactory anesthesia sedative effect ,and safe to complete the examination .And no bleeding ,perforation and even death and other serious adverse consequences were observed .Conclusion In the strict control of indications and close observation , elderly patients undergoing anesthesia under the gastrointestinal endoscopy is safe ,comfortable and feasible .