摘要
目的 研究神志清醒的亚麻醉法用于无痛肠镜检查的实用性和安全性。方法 将10 0 3例预约的肠镜检查分为实验Ⅰ组、Ⅱ组;实验Ⅰ组静脉推注芬太尼0 .1mg后约1min ;Ⅱ组肌肉注射芬太尼0 .1～0 .2mg后约2min ,进行电子结肠镜检查;未用药者为对照组。结果 3组患者术中均能与术者对答,术毕可下床扶行。用药组肛门松弛,肠镜检查时安静,术后对肠镜检查过程有痛苦回忆者在2 0 %以下。用药后2 0min内头昏、头晕较用药前比差异有显著性意义;对照组则肛门紧闭,其中90 %表情痛苦或呻吟,术后有痛苦的记忆;部分病人因疼痛剧烈,而要求用药后完成检查。结论 神志清醒的亚麻醉法可安全有效地应用于门诊及住院病人的无痛肠镜检查。
Objective To making colonoscopy more smooth;to compare the efficacy and security of two kinds of methods,make narcotic analgerics have the able mative for easy colonoscopy.Methods One thousand and three cases were included in this study,the patients were randomized into three group-Ⅰ group(fentany iv group n=600),Ⅱ group (fentany1 im group n=403),contrast group (nosedative was employed prior to intubation n=50).Ⅰ group with fentany 0.1～0.2mg iv before the procedure,Ⅱ group with fentany 0.1～0.2mg im).Heart rate,blood pressure and SPO 2 were obtained for each patient before the procedure and monitored continuously during and after tile procedure.Results Data in Ⅰ group and Ⅱ group show high satisfaction with sedation and primary anesthesia.There were clinical nonsignificant changes in heart rate,blood pressure and SPO 2 of each group(P>0.05).All operations in three groups were completed successfully,significant changes occurred in the operation time between each group.Application of narcontic analgerics time in group Ⅰ was obviousy shorter than those in group Ⅱ and contrast group.(P<0.01).Conclusion Both of the two methods can produce safe and effective sedation and primary anesthesia colonoscopy.
出处
《四川医学》
CAS
2005年第4期386-387,共2页
Sichuan Medical Journal
