异丙酚静脉麻醉减少胃镜检查的并发症  

Gastroscopy under Propoful Sedation and Anesthesia is a Procedure with Minimal Scarceness of Complication

作　　者：张婉雯[1] 邵晓刚[1] 王敏[1] 

机构地区：[1]佛山市顺德区第一人民医院,广东佛山528300

出　　处：《国际医药卫生导报》2004年第18期59-61,共3页International Medicine and Health Guidance News

摘　　要：目的探讨应用异丙酚静脉麻醉减少胃镜检查并发症的可行性和安全性。 方法 将2160例胃镜检查患者分为2组:麻醉组(1290例)静脉注射异丙酚至患者进入4级镇静状态后进行胃镜检查;对照组(1121例)按常规进行胃镜检查。比较两组检查前、检查开始后1、5、20min和检查结束后的血压、心率、血氧饱和度以及检查反应、合并症和入镜一次检查成功率。 结果 检查过程中,麻醉组的血压在1min时有明显变化(P<0.01),而心率和血氧饱和度在各时段的变化均无显著性差异(P>0.05)。但对照组血压在1、5min时段,心率在各时段,均有明显变化(P<0.01),而且变化幅度大于麻醉组。麻醉组并发精神神经反应和操作损伤的病例明显少于对照组(P<0.01),麻醉组的入镜一次检查成功率明显高于对照组(P<0.01)。 结论 异丙酚辅助胃镜检查是安全有效的,其并发症明显少于普通胃镜检查。Objective To evaluate the complication and safeness of gastroscopy under propoful'ssedation and anesthesia. Methods Two thousand one hundred and sixty patients were divided into twogroups (1) Anesthesia group: Gastroscopy was undergone when patients were in the fourth grade anesthesiastate after propoful was injected intravenously. (2) Control group: Gastroscopy was undergone withoutanesthesia. In two groups of patients average blood pressure(BP), heart rate(HR), blood oxygen saturation(BOS) were measured before examination, 1, 5, 20minute after examination and operation end. Operativereaction and complication were recorded too. Result (1) During the procedure, the changes of HR and BOSin aneathesia group were stable and had no significant different among periods(P>0.05)except thechanges of BP 1min after examination. (2) the changes of HR among different periods and BP 1, 5 min afterexmination in control group were unstable and statistically different(P<0.01).(3) Control group hadsignificantly more operative trauma and reactions compared with aneathesia group. Conclusion Gastros-copy under propoful's sedation and aneathesia is effective, safe and less complications compared withthe traditional gastroscopy.

关 键 词：异丙酚 麻醉 胃镜检查 并发症 

分 类 号：R573[医药卫生—消化系统]