异丙酚静脉麻醉辅助结肠镜检查的效果观察  

Effect observation of colonoscope examination with intravenous anesthesia with disoprofol

作　　者：王敏[1] 

机构地区：[1]佛山市顺德区第一人民医院内镜中心,广东佛山528300

出　　处：《南方护理学报》2004年第7期54-55,共2页Nanfang Journal of Nursing

摘　　要：目的探讨异丙酚静脉麻醉辅助结肠镜检查的效果。方法将4368例患者分为2组,自愿接受异丙酚静脉麻醉后进行结肠镜检查者2882例,未经静脉麻醉接受肠镜检查者1486例,随机抽取其中30例接受异丙酚静脉麻醉和20例未接受异丙酚静脉麻醉进行结肠镜检查者,检查前,检查中1min、5min及检查开始至结束第20min的血压、脉搏、血氧饱和度进行统计学处理。结果两组患者平均舒张压、脉搏和血氧饱和度各时间段无显著性差异,平均收缩压F=12.13,P<0.05,有显著性差异。采用LSD方法进行两两比较,组内和两组间检查前和检查中1min、5min有显著性差异,q=0.83,q=1.07,P均<0.01;5min和20min有显著性差异,q=1.08,P<0.01。结论异丙酚应用于结肠镜检查时,能减轻患者疼痛和恶心呕吐,使患者安全、轻松地完成镜检。Objective To explore the nursing effect through colonoscope examination with intravenous anesthesia with disoprofol. Methods The patients were divided into 2 groups: 2 882 patients took colonoscope examination of intravenous anesthesia with disoprofol voluntarily and 1 486 patients without anesthesia in control group. 30 patients in the observation group and 20 patients in the control group were randomly selected. Patients' blood pressure, pulse, oxygen saturation were operated statistically before the examination, 1 min and 5 min during the examination and after the examination. Results According to SPSS12.0, there were no significant differences about average diastolic pressure, pulse and oxygen saturation at different time between two groups. There was significant difference about average systolic pressure (F=12.13, P<0.05). According to LSD, there was significant difference in group and between groups before examination and at 1 min and 5 min during examination (q=0.83, q=1.07, P<0.01); and there was also significant difference at 5 min and 20 min during examination (q=1.08, P<0.01). Conclusion The application of disoprofol for colonoscope examination can reduce pain, nausea, vomit and make the patient accomplish colonoscope examination safely and comfortably.

关 键 词：结肠镜检查 异丙酚 静脉麻醉 护理 

分 类 号：R574.62[医药卫生—消化系统] R614.24[医药卫生—内科学]