摘要
目的 探索地佐辛复合丙泊酚静脉麻醉在无痛胃镜检查中的应用效果及不良反应。方法 方便选取2018年1-12月期间该院实施无痛胃镜检查60例患者(实施奇偶数法分组模式),对照组的30例患者进行芬太尼麻醉,观察组的30例患者进行地佐辛复合丙泊酚静脉麻醉。结果 观察组患者检查中VAS评分(0.53±0.19)分、检查中Ramsay镇静评分(3.99±0.27)分、拔除胃镜后立即VAS评分(1.95±0.56)分、拔除胃镜后立即Ramsay镇静评分(2.26±0.57)分、PaO2(96.88±9.63)mmHg、睁眼时间(5.65±1.86)min、睫毛反射消失时间(2.84±1.39)min、麻醉起效时间(4.92±1.37)min、丙泊酚用量(124.58±16.86)mg、不良反应(6.67%)均优于对照组,差异有统计学意义(t=1.529、1.188、2.432、2.137、51.398、5.623、4.153、4.266、56.325,χ^2=11.624,P<0.05),同时观察组各时间段的MAP、HR稳定情况优于对照组,差异有统计学意义(P<0.05)。结论 在实施无痛胃镜检查时,运用地佐辛复合丙泊酚静脉麻醉效果显著,且安全性更高。
Objective To explore the application effect and adverse reactions of dextrozine combined with propofol intravenous anesthesia in painless gastroscopy.Methods From January to December 2018,convenient selected 60 patients with painless gastroscopy were performed in the hospital(the odd-even group method was implemented),and 30 patients in the control group underwent fentanyl anesthesia.30 patients underwent intravenous anesthesia with dextrozine combined with propofol.Results In the observation group,the VAS score(0.53±0.19)points,the Ramsay sedation score(3.99±0.27)points,the VAS score(1.95±0.56)points after removal of the gastroscope,and the Ramsay sedation score(2.26±0.57)points immediately after removal of the gastroscope,PaO2(96.88±9.63)mmHg,blink time(5.65±1.86)min,eyelash reflex disappearance time(2.84±1.39)min,anesthesia onset time(4.92±1.37)min,propofol dosage(124.58±16.86)mg and adverse reactions(6.67%)were superior to the control group,the difference was statistically significant(t=1.529,1.188,2.432,2.137,51.398,5.623,4.153,4.266,56.325,χ^2=11.624,P<0.05),while observing the MAP of each time period of the group,the stability of HR was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion In the implementation of painless gastroscopy,intravenous anesthesia with dizocine combined with propofol is effective and safe.
作者
王香
WANG Xiang(Department of Anesthesiology,Yixing People's Hospital,Yixing,Jiangsu Province,214200 China)
出处
《中外医疗》
2019年第29期91-93,共3页
China & Foreign Medical Treatment
关键词
地佐辛复合丙泊酚
静脉麻醉
无痛胃镜
不良反应
Dextrozine combined with propofol
Intravenous anesthesia
Painless gastroscopy
Adverse reactions
