麻醉技术在消化内镜检查中的应用  

Application of painless technique with propofol to gastrointestinal endoscopy

作　　者：李玉梅[1] 庄伟[1] 陈静[1] 王建建[1] 周美树[1] 夏新桂[2] 

机构地区：[1]武警浙江总队医院消化内科,嘉兴314000 [2]武警浙江总队医院麻醉科,嘉兴314000

出　　处：《武警医学》2005年第7期513-516,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨麻醉技术应用于消化内镜检查的可行性。方法随机选择接受胃镜、结肠镜检查者1378例,其中自愿接受静脉麻醉的683例为麻醉组,选用手背静脉推注丙泊酚2mg/kg;接受普通胃镜、结肠镜检查的695例为对照组。记录患者接受检查前后不同时点的血压、心率、血氧饱和度,观察操作时间、清醒时间、不良反应及患者的主观意见反应。结果麻醉组不良反应发生率明显降低(P<0.01),检查中血压、心率较检查前均有不同程度下降,患者的满意度和愿意再接受检查的比例明显高于对照组(P<0.01)。结论丙泊酚静脉麻醉应用于消化内镜检查安全可行,可明显减轻痛苦和不良反应,有利于提高内镜检查的成功率。Objective To evaluate the safety and feasibility of painless technique with propofol anesthesisa in gastrointestinal endoscopy.Methods 1 378 patients undergoing gastroscopy or colonoscopy were randomly divided into two groups:anesthesia group and control group. In the anesthesia group, propofol (2 mg/kg) was intravenously injected before gastroscopy or colooscopy. In control group, patients underwent conventional endoscopy. Blood pressure (BP), heart rate (HR) and oxygen saturation (SaO_2) were monitored before and after endoscopy. Duration of examination, time for recovery of consciousness, adverse reactions and patients' self-feeling were recorded.Results The occurrence of adverse reactions decreased significantly (P<0.01), the proportion of satisfaction and re-acceptancet increased significantly (P<0.01) in anesthesia group, compared with control group. In anesthesia group, BP and HR decreased to some extent during endoscopic examination.Conclusion The painless technique with propofol anesthesia in gastrointestinal endoscopy is safe and feasible. It markedly reduces patents' discomfort and adverse reactions,and raises success rate of endoscopy.

关 键 词：消化内镜检查 麻醉技术 不良反应发生率 结肠镜检查 血氧饱和度 静脉麻醉 静脉推注 普通胃镜 检查前后 操作时间 清醒时间 不同程度 麻醉应用 丙泊酚 对照组 接受 检查者 患者 受检查 满意度 血压 心率 

分 类 号：R971.2[医药卫生—药品] R614.4[医药卫生—药学]