J4 ›› 2011, Vol. 10 ›› Issue (12): 70-72.
目的:探讨麻醉的胃镜和肠镜检查对老年高危患者的影响。方法: 对456 例老年高危患者在静脉麻醉下行胃镜和肠镜检
查，术前先按照安全评估系统进行风险评估，术中监测心率、心律、血压、呼吸和氧饱和度。结果:在麻醉状态下胃镜和肠镜检查过程中，456 例老年高危患者均顺利完成胃镜和肠镜检查，其中有54 例氧饱和度降低，1 例呼吸抑制。结论: 老年高危患者在安全监测系统下，行麻醉胃镜和肠镜检查是安全的，值得推广。
Objective: To investigate the influence of anesthesia for gastroscopy and colonoscopy in elderly high-risk patients.Methods: After operative risk assessment based on the preoperative safety assessment system, 456 cases of the aged high -risk patients were conducted to gastroscopy or colonoscopy examination with the intravenous anesthesia. During the procedure, the heart rates and rhythm, blood pressure, respiratory conditon, and oxygen saturation were monitored. Results: In the anesthetized state, all 456 cases of examination were all successfully completed. However, the oxygen saturation was dropped in fifty-four cases, and respiratory inhibition was obeserved in one case. Conclusion: The anesthesia for gastroscopy and colonoscopy in erderly high-risk
patients are safe under the safety monitoring system, and worthy of being popularized.
