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为了探讨纤维胃镜(下称胃镜)检查对老年人心脏的影响,我们对101例60岁以上的老年人(包括27例冠心病)和13例中青年(对照)在胃镜检查时作了心电观察,结果表明,114例胃镜检查时心电均有变化。104例为窦性心率加快呈心脏兴奋性增高,但各组发生率无统计学差别。10例心率减慢。冠心病组检前窦缓8例其中6例术中心率更慢,而老年无冠心病组、中青年组检前窦缓共19例术中心率均加快,前者与后两组差别非常显著(P<0.01)。前者多为窦房结病变者,提示刺激上消化道易致病态窦房结兴奋性下降。故胃
In order to investigate the effect of fiber endoscopy on the heart of the elderly, 101 electrocardiographs were performed on gastroscopy of 101 elderly people over the age of 60 (including 27 coronary heart disease) and 13 middle-aged and young people (control) Observations, the results show that 114 cases of gastroscopy ECG changes. 104 cases of accelerated sinus rhythm increased cardiac excitability, but the incidence of each group was no significant difference. 10 cases of heart rate slowed down. Preoperative anastomosis of coronary heart disease in 8 cases, 6 cases of surgery in the heart rate was slower, while the elderly without coronary heart disease group, young and middle-aged group examined a total of 19 cases of preoperative sinus surgery rate were accelerated, the former and the latter two groups is very significant difference P <0.01). Former sinoatrial node lesions are mostly prompted to stimulate the upper digestive tract pathogenic sinus node excitability decreased. So stomach