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【目的】探讨无痛胃镜对高龄老年高血压患者生命体征的影响。【方法】选取本院2010年7月至2013年6月年龄≥80岁的高血压患者86例，在麻醉剂诱导下行胃镜检查，用多功能监护仪连续监测并记录检查前、中、后患者的收缩压（SBP）、舒张压（DBP）、心率（HR）、脉搏血氧饱和度（SpO2）、心电图的变化及检查中的不良反应。【结果】患者在胃镜检查中SBP、DBP、HR与检查前比较差异有统计学意义（ P ＜0．01），未经特殊处理，检查后均恢复到正常，SpO2较检查前比较差异无统计学意义（ P ＞0．05）。患者均无严重并发症发生，检查成功率为100％。【结论】对于无痛胃镜检查术高龄老年高血压患者，密切观察和处理，就能确保是安全和舒适。“,”[Objective]To explore the changes of vital signs for elders with hypertension during analgesic gastroscopy .[Methods]A total of 86 hypertensive patients aged over 80 years were admitted into our hospital from July 2010 to June 2013 .And analgesic gastroscopy was performed .The parameters of heart rate (HR) , systolic blood pressure (SBP) ,diastolic blood pressure (DBP) ,saturation of blood oxygen (SpO2 ) ,electro‐cardiogram and adverse reactions were monitored continuously during operation .[Results]SBP ,DBP and HR significantly decreased during operation ( P 0 .05) .All operations were completed without any severe adverse reaction .[Conclusion]Analgesic gastroscopy has little effect on vi‐tal signs of hypertensive elders .And it is both safe and comfortable .