Wang J, Chen WG, Tian SX, Han YZ. Safety of painless gastroscopy and ordinary gastroscopy in hypertension patients: Analysis of 120 cases.
Shijie Huaren Xiaohua Zazhi 2015;
23:788-792. [DOI:
10.11569/wcjd.v23.i5.788]
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Abstract
AIM: To explore the safety and feasibility of painless gastroscopy in hypertension patients to provide a reference for hypertension patients to choose a safer and more comfortable gastroscopy procedure.
METHODS: One hundred and twenty hypertension patients and 120 non-hypertension patients who were willing to receive gastroscopy were selected. Each of the two groups of patients was further divided into two equal subgroups to undergo painless gastroscopy and ordinary gastroscopy, respectively. Changes in mean arterial pressure (MAP), heart rate (HR) and SPO2, as well as intraoperative and postoperative adverse reactions such as nausea, omit, bucking, dysphoria, and pharyngeal discomfort, were observed and recorded before anesthesia, when introducing the endoscope (t1), when the endoscope went through the entrance of the esophagus (t2), and when the patients woke up after the procedure (t3).
RESULTS: During gastroscopic examination, MAP and HR in hypertension and non-hypertension patients undergoing painless gastroscopy at t2 were significantly lower than those at t1 (P < 0.01), while MAP and HR in hypertension and non-hypertension patients undergoing ordinary gastroscopy at t2 were significantly higher than those at t1 (P < 0.01). The descending range was significantly smaller than the ascending range. Intraoperative and postoperative adverse reactions such as nausea, omit, bucking, dysphoria, and pharyngeal discomfort in patients undergoing painless gastroscopy were significantly lower than those in patients undergoing ordinary gastroscopy (P < 0.01).
CONCLUSION: Circular fluctuations are smaller during painless gastroscopy for hypertension patients than ordinary gastroscopy. Also, painless gastroscopy is associated with less intraoperative and postoperative adverse reactions, and is therefore safer and more comfortable.
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