摘要
目的探讨无痛胃镜检查中的最佳呼吸管理模式。方法200例无痛胃镜病人,采用芬太尼与异丙酚复合静脉镇痛,依给氧方式不同随机分为4组,每组50例。Ⅰ组,不给氧;Ⅱ组,鼻导管给氧;Ⅲ组,面罩给氧;Ⅳ组,高频喷射通气。记录病人麻醉前,麻醉后2、4、6、8、10min时的呼吸次数及SpO2。结果麻醉后所有病人呼吸频率均较麻醉前显著降低(P<0.05),8min后呼吸频率逐渐恢复至麻醉前水平。II组SpO2麻醉后2min有一明显降低(P<0.05),其中9例需行面罩给氧。Ⅰ组SpO2在8min内均较麻醉前明显降低(P<0.05),其中有23例病人因SpO2低于93%而需面罩给氧。Ⅲ、Ⅳ组病人麻醉前后SpO2差异无显著性(P>0.05)。结论无痛胃镜检查,用麻醉机面罩给氧或进行高频喷射通气给氧都是安全有效的方法。
[Objective] To explore the best ventilation way on painless gastroscopy. [Methods] 200 received no-analgesia gastroscopy patients, under venous compound anesthesia of Fentanyl and Propofol, were randomly divided into four groups according to different offering oxgen： group Ⅰ, no offering oxgen; group Ⅱ, offering oxgen with nose; group Ⅲ, offering oxgen with mask ; Group Ⅳ, high frequency jet ventilation. Record respiratory frequency and SpO2 of patients before anesthesia, after anesthesia 2, 4, 6, 8, 10 min. [Results] Respiratory frequency of all patients after anesthesia were decreased significantly （P 〈0.05） compared with before anesthesia. Resume to normal after 8 min. group Ⅱ SpO2 was decreased significantly （ P 〈0.05） after anesthesia 2 min, 9 of those used to offer oxgen with mask. Group Ⅰ SpO2 were decreased significantly （ P 〈0.05） after anesthesia within 8 min compared with before anesthesia. 23 of those used to after oxgen with mask because of SpO2〈93%. Group Ⅲ and group Ⅳ SpO2 were no significant difference before and after anesthesia. （ P 〉0.05）. [Conclusion] No-analgesia gestrocopy, the safe and valid means are offering oxgen with mask of anesthesia machine and high frequency jet ventilation.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第10期1056-1058,共3页
China Journal of Endoscopy
关键词
胃镜检查术
呼吸管理
麻醉
gastroscopy
respiratory management
anesthesia
