无痛胃镜检查对不同体质量患者呼吸循环功能的影响

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

陆雯¹ 

关键词: 体质量指数;    无痛胃镜;    呼吸功能;    循环功能;    肥胖;    麻醉;   

DOI  :  10.11997/nitcwm.201803007

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the influence of painless gastroscopy on respiration and circulation of patients with different body mass index(BMI). Methods 〓Totally 115 patients undergoing painless gastroscopy were assigned to the normal group(n=64), overweight group(n=33)and obesity group(n=18)according to their BMI. The mean arterial pressure(MAP), respiratory rate(RR), heart rate(HR)and oxyhemoglobin saturation(SpO2)were observed during gastroscopy. Results 〓The MAP of patients in all three groups was decreased after administration of anesthetic compared with that before administration(P<0.05). The RR, HR and SpO2 of patients were slightly decreased after administration of anesthetic. There was no significant difference in MAP, RR, HR and SpO2 among three groups at different time points of gastroscopy(P>0.05). The proportion of patients with respiration supportive management in the obesity group was higher than that of patients in the normal group and in the overweight group(P<0.05), and there was no significant difference between the normal group and in the overweight group(P>0.05). Conclusion 〓The operation of painless gastroscopy may affects the respiration and circulation of patients with different BMI. It is required to carry out nursing measures such as proper position, lower jaw support and nasopharyngeal airway establishment, in order to improve the pulmonary ventilation function of patients during painless gastroscopy.

【 授权许可】

CC BY-NC