老年患者胃镜检查应用地西泮和咪达唑仑的护理配合(1)
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【摘要】 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,10 min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。
【关键词】地西泮;咪达唑仑;无痛胃镜;生命体征观察;护理配合
The effect of nursing combination in gastroscopy with intravenous anesthesia combined Diazepam with Midazolam in elderly patients
XIAO Cui ping,SHU Jian chang,SONG Hui dong,et al.Guargzhou Red Cross Hospital Affiliated to Medical College of Ji’nan University,Guangzhou 510220,China
【Abstract】 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 gastroscopy used intravenous anesthesia combined Diazepam with Midazolam.In the examine process,we monitored vital sign and reinforcednursing 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 cases(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.
【Key words】 Diazepam; Midazolam; Painless gastroscopy; Vital sign monitor; Nursing combination
胃镜检查是发现上消化道疾病的常规手段,确诊率高。但普通胃镜检查常可引起患者的情绪、心理及生理变化,这些变化可直接或间接导致并发症的发生,尤其对于并存高血压、心肺疾病的老年患者,更不易耐受普通胃镜检查。近年来,本院开展了使用地西泮联合咪达唑仑静脉麻醉进行无痛胃镜检查,并充分做好护理配合工作,取得良好效果,现报告如下。
1 资料与方法
1.1 一般资料 2007年1月至2008年12月在本院行胃镜检查(治疗)的老年患者(>60岁)中,845例患者联合应用了地西泮和咪达唑仑进行镇静,其中男405例,女440例,年龄61~92岁,平均(73 ......
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