[目的]探讨术前腹式呼吸训练在老年非麻醉结肠镜检查患者中的应用效果.[方法]选择 2017年 9 月至 2018年 6 月收治的非麻醉肠镜检查住院的大肠癌患者 200 例,按照随机数字表法随机分为对照组和干预组各 100例.对照组采用常规干预,干预组在对照组基础于检查前 3 天给予腹式呼气训练指导.比较两组患者疼痛度状况(面部表情疼痛量表,FPSR)及焦虑情绪(焦虑自评量表,SAS)变化;检查前和检查中血压和心率变化.[结果]干预组 FPSR量表评分低于对照组,差异具有统计学意义(P ＜0.05).两组患者检查中的收缩压、舒张压和心率较检查前要明显降低,差异具有统计学意义(P ＜0.05);干预组患者检查中的收缩压、舒张压和心率低于对照组患者,差异具有统计学意义(P ＜0.05).干预组检查前 SAS评分低于对照组,差异具有统计学意义(P ＜0.05).[结论]术前腹式呼吸训练应用于老年非麻醉结肠镜检查,其效果良好,可减轻患者疼痛,降低应激反应及焦虑情绪.“,”[Objective]To explore the application of preoperative abdominal breathing training in elderly patients undergoing nonanesthetic colonoscopy.[Methods]A total of 200 patients with colorectal cancer who were hospitalized for nonanesthetic colonoscopy from September 2017 to June 2018 were randomly divided into the control group and the intervention group with 100 cases in each group.The control group received routine administration,while the intervention group was guided for abdominal breathing training three days before the examination.The degree of pain (Facial Expression Pain Scale,FPSR)and anxiety (SelfAssessment Scale,SAS)plus changes of blood pressure and heart rate before and during examination were compared between the two groups.[Results]The score of FPSR scale in the intervention group was lower than that in the control group (P ＜0.05).The systolic blood pressure,diastolic blood pressure and heart rate in the two groups during colonoscopy were lower than those before the examination (P ＜0.05);the systolic blood pressure,diastolic blood pressure and heart rate in the intervention group during colonoscopy were lower than those in the control group (P ＜0.05).SAS score of the intervention group before colonoscopy procedure was lower than that of the control group.The difference was statistically significant (P ＜0.05).[Conclusion]Preoperative abdominal breathing training has a good effect on elderly patients undergoing nonanesthetic colonoscopy.It reduces pain,stress and anxiety.