Solomon S A, Kajla V K, Banerjee A K
Department of Medicine for the Elderly, Bolton General Hospital.
J R Coll Physicians Lond. 1994 Sep-Oct;28(5):407-10.
The cardiopulmonary complications associated with gastroscopy could be reduced by giving little or no prior sedation. The ability to tolerate the procedure with and without sedation was compared in 62 elderly patients by recording responses to a questionnaire designed to evaluate the patient's own assessment of the examination. A similar percentage of sedated and unsedated patients described the procedure as mildly unpleasant (63% vs 57%; chi 2 = 0.500; p > 0.10). The majority (73%) of unsedated patients did not want to be sedated for future examinations because of the inconvenience of the recovery period. Elderly patients should therefore be given the choice of undergoing the procedure without sedation. Full counselling and explanation of the procedure are however even more important to allay anxiety and apprehension if the procedure is undertaken without sedation.
通过给予少量或不给予术前镇静剂，可以减少与胃镜检查相关的心肺并发症。通过记录对一份旨在评估患者自身对检查评估的问卷的回答，比较了62例老年患者在有或没有镇静剂的情况下耐受该检查的能力。相似比例的接受镇静和未接受镇静的患者将该检查描述为轻度不适（63%对57%；卡方=0.500；p>0.10）。大多数（73%）未接受镇静的患者由于恢复期的不便，不想在未来的检查中接受镇静。因此，应该给予老年患者选择不使用镇静剂进行该检查的权利。然而，如果在不使用镇静剂的情况下进行该检查，充分的咨询和对检查过程的解释对于减轻焦虑和恐惧更为重要。
