依托咪酯、芬太尼静脉复合麻醉在消化内镜诊疗中的应用  

Study on painless electronic-colonlscopy with etomidate and fentanyl

作　　者：石金鑫[1] 周军[1] 韩家忠[1] 冯惠[1] 

机构地区：[1]江苏省阜宁县人民医院,224400

出　　处：《哈尔滨医药》2005年第2期5-7,共3页Harbin Medical Journal

摘　　要：目的研究依托咪酯、芬太尼静脉复合麻醉用于电子肠镜检查的可行性。方法选择无电子肠镜检查禁忌症的需接受肠镜检查的患者116例,其中自愿接受麻醉的58例为组,静脉推注芬太尼,用量2ug/kg,依托咪酯用量0.15mg～0.3mg/kg/次;另58例为组,接受常规肠镜检查。两组病人术中常规监测血氧饱和度、血压及心电图,并记录患者入室至检查结束不同时点的SpO2及HR值,观察苏醒时间和不良反应并进行比较。结果组58例患者顺利完成肠镜检查,患者术中几无不适感,不良反应的发生率较对照组明显降低(P<0.01),组患者反应明显,有两例未完成手术。结论依托咪酯、苏太尼静脉复合麻醉用于电子肠镜检查是一种安全有效方法。Objective To investigate the effectiveness and safeness of colonscopy under etomida and fentangl's anesthesia.Methods.One hundred and sixteen patients were divided into two groups (1) Anesthesia group:patients to acpect anesthe induced with fentanyl and etomideat.(2)Control group:colonoscopy was undergone without anesthesia In two group of patients blood pressure.Puls rate,blood oxygen saturation were measured.Results:The procedures were successfully completed in all patient with anesthesia.The adverse reactions to the rpocedures were sighficantly reduced.Conclusion:With intravenous use of fentanyl and etomidate,colonoscopy can be performed effectively and safety.

关 键 词：静脉复合麻醉 依托咪酯 芬太尼 内镜诊疗 电子肠镜检查 消化 不良反应 血氧饱和度 方法选择 静脉推注 SpO2 苏醒时间 有效方法 患者 接受 禁忌症 心电图 不适感 对照组 发生率 苏太尼 用量 术中 

分 类 号：R614.24[医药卫生—麻醉学] R971.2[医药卫生—外科学]