摘要
目的探究异丙酚联合芬太尼进行静脉全麻在无痛胃镜中的临床效果。方法选取本院于2017年1月至2018年1月行胃镜检查的1100例患者视为研究对象,根据国际字母排序法将其分为观察组和对照组,各550例。观察组(n=550)先静脉注入1μg/kg芬太尼,再缓慢推注2.5mg/kg异丙酚;对照组(n=550)先静脉推注0.05mg/kg咪唑安定,再缓慢推注2.5mg/kg异丙酚。待两组患者的睫毛、意识的反射消失后实行无痛胃镜检查。比较两种麻醉方法在无痛胃镜中的临床效果。结果检查后,观察组的MAP、SPO_2、HR显著优于对照组(P<0.05)。观察组的镇痛优良率(100.00%)显著高于对照组(90.55%)(P<0.05)。结论在无痛胃镜检查中应用异丙酚联合芬太尼进行静脉全麻操作,可有效减轻患者的痛苦,安全性较高。
Objective To investigate the clinical effect of propofol combined with fentanyl for general anesthesia in painless gastroscopy. Methods 1100 patients who underwent gastroscopy from January 2017 to January 2018 were enrolled in the study. According to the international alphabetical order, they were divided into observation group and control group, 550 cases each. In the observation group（n =550）, 1 μg/kg fentanyl was injected intravenously, and then 2.5 mg/kg propofol was injected slowly. The control group（n =550） was intravenously injected with 0.05 mg/kg midazolam, and then slowly pushed. 2.5 mg/kg propofol was slowly injected. Painless gastroscopy was performed after the eyelash and reflex reflex disappeared in the two groups. The clinical effects of two groups of anesthetic methods in painless gastroscopy were compared. Results After the examination, the MAP, SPO2, and HR of the observation group were significantly better than the control group（P〈 0.05）. The excellent rate of analgesia in the observation group（100.00%） was significantly higher than that in the control group（90.55%）（P〈 0.05）. Conclusion The application of propofol combined with fentanyl for general anesthesia in painless gastroscopy can effectively affect the suffering of patients effectively relieve the pain and safety of patients.
作者
樊战红
FAN Zhan-hong(Zhengzhou Xinhua Hospital,Zhengzhou,He＇nan,45237)
出处
《智慧健康》
2018年第19期42-44,共3页
Smart Healthcare
关键词
异丙酚
芬太尼
全麻
无痛胃镜
Propofol
Fentanyl
General anesthesia
Painless gastroscope
