异丙酚静脉麻醉在胃镜检查中的应用  

The Clinical application of propoful in gastroscopy

作　　者：张旭[1] 周宁宁[1] 高莹[1] 潘松[2] 李勇[2] 

机构地区：[1]安徽省蚌埠市中心医院消化内科,233000 [2]安徽省蚌埠市中心医院麻醉科,233000

出　　处：《淮海医药》2006年第5期378-379,共2页Journal of Huaihai Medicine

摘　　要：目的观察异丙酚在胃镜检查中的临床应用效果和安全性。方法在胃镜检查前根据患者心电监护情况，缓慢静脉注射异丙酚。观察诱导前、诱导后1min、5min、10min、15min患者的血压、心率、呼吸、血氧饱和度变化。结果麻醉诱导后1min91．2％患者血压、呼吸、血氧饱和度较诱导前有明显降低（P〈0．05），其余时段差异无显著性。所有患者出现的血压下降、呼吸减慢、血氧饱和度下降，经对症处理均能迅速恢复正常；患者对麻醉均满意，检查结束后患者苏醒时间1～9min，30min内均能安全返回病房或离院。结论异丙酚在辅助胃镜检查中效果显著，安全性好，能使患者无痛苦、安全、顺利完成检查及治疗，对提高消化道疾病的诊疗水平有重要意义。Objective To evaluate the effect of propoful used in gastroscopy. Methods Patients,under the guardianship of the patient monitor,were intravenously injected with propoful before gastroscopy. The vital signs including blood pressure, heart rate ,.breath and SpO2 were observed before induction and at 1,5,10 and 15 minutes after induction. Results The blood pressure, breath and SpO2 of the patients decreased significantly （P〈0.05）but recovered rapidly after treatment. No significant difference was shown at other stages. All patients were satisfied with anaesthesia. They recovered from 1 to 9 minutes after gastroscopy,and could go back to the ward or depart from hospital, Conclusion Propoful has good effect and patients are safe and painless during the course of inspection, which is important for the improvement of diagnosis and treatment of digestive system disease.

关 键 词：异丙酚 胃镜检查 麻醉 

分 类 号：R573[医药卫生—消化系统] R971.2[医药卫生—内科学]