摘要
目的:探讨丙泊酚复合地佐辛麻醉对胃镜检查患者心理焦虑及舒适度的影响。方法:选取2018年1-8月于武汉大学人民医院行胃镜检查的患者300例,根据患者意愿分为对照组和观察组,每组150例。对照组患者在无麻醉状态下进行常规胃镜检查,观察组患者在丙泊酚复合地佐辛静脉麻醉下进行胃镜检查。观察两组患者检查前后的焦虑评分、舒适度评分,比较两组患者胃镜检查时间、离院时间、检查后恶心呕吐和离院时眩晕情况的差异。结果:对照组最终纳入患者118例,观察组最终纳入患者126例。检查前后,观察组患者的焦虑评分明显低于对照组;且检查后,两组患者的焦虑评分明显低于检查前,上述差异均有统计学意义(P<0. 05)。检查后,观察组患者的舒适度评分明显高于检查前和对照组检查后,差异均有统计学意义(P<0. 05)。两组患者胃镜检查时间的差异无统计学意义(P>0. 05);对照组患者的离院时间明显短于观察组,检查后恶心呕吐及离院时眩晕的发生率明显低于观察组,差异均有统计学意义(P<0. 05)。结论:丙泊酚复合地佐辛麻醉能显著降低胃镜检查患者的焦虑情绪,但可能增加患者检查后的不舒适感。
OBJECTIVE: To probe into the effects of propofol combined with dizocine anesthesia on psychological anxiety and comfort of patients undergoing gastroscopy. METHODS: Totally 300 patients undergoing gastroscopy admitted into Renmin Hospital of Wuhan University from Jan. 2018 to Aug. 2018 were extracted to be divided into the control group and the observation group via patients’ preference,with 150 cases in each group. The control group was given routine gastroscopy without anesthesia,while the observation group received propofol combined with dizocine anesthesia. The anxiety score and comfort score of two groups were observed before and after gastroscopy. Differences of gastroscopy time, discharge time, postoperative nausea, vomiting and dizziness of two groups were compared.RESULTS: A total of 118 patients were included in the control group and 126 patients in the observation group. Before and after gastroscopy,the anxiety score of the observation group was significantly lower than that of the control group;and after gastroscopy,the anxiety scores of two groups were significantly lower than those before gastroscopy,differences were statistically significant( P<0. 05). After gastroscopy,the comfort score in the observation group was significantly higher than that before gastroscopy and the control group after gastroscopy, the differences were statistically significant( P < 0. 05). The difference of gastroscopy time between two groups was not statistically significant( P>0. 05). The discharge time of the control group was significantly shorter than that of the observation group,and the incidence of postoperative nausea,vomiting and dizziness was significantly lower than that of the observation group,with statistically significant differences( P < 0. 05). CONCLUSIONS: Propofol combined with dezocine anesthesia can significantly reduce anxiety in patients undergoing gastroscopy,but may increase patient discomfort after gastroscopy.
作者
肖兴鹏
李思琦
王颖
余奇劲
宋玲玲
XIAO Xingpeng;LI Siqi;WANG Ying;YU Qijin;SONG Lingling(Dept.of Anesthesia,Renmin Hospital of Wuhan University,Hubei Wuhan 430060,China)
出处
《中国医院用药评价与分析》
2020年第1期37-39,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
湖北省自然科学基金资助项目(No.2014CFB733)
关键词
静脉麻醉
无痛胃镜
焦虑
舒适度
Intravenous anesthesia
Painless gastroscopy
Anxiety
Comfort degree
