咪哒唑仑联合芬太尼用于胃镜检查300例分析  

ANALYSIS OF 300 PATIENTS TREATED WITH MIDAZOLAM AND FENTANYL BEFORE GASTROSCOPE INSPECTION

作　　者：晏洁影[1] 刘国龙[1] 

机构地区：[1]广东省深圳市宝安区松岗人民医院,518105

出　　处：《中国煤炭工业医学杂志》2008年第12期1840-1841,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的通过对在胃镜检查前应用咪哒唑仑、芬太尼镇静药的研究,对这种新的胃镜检查方法的镇静效果和安全性进行评价。方法回顾性分析2006年1月—2007年2月我院300例胃镜检查患者,检查前应用咪哒唑仑、芬太尼镇静治疗,观察患者在胃镜检查前后的心率、血压、呼吸、血氧饱和度的变化以及置镜反应、胃镜检查效果、镇静效果。结果患者在用药后5min有血压、心率下降,呼吸频率明显减慢,能迅速恢复正常,仅少数患者有轻微躁动、呃逆、打鼾,但检查结束后均不能回忆起检查过程,舒适满意率100%。结论胃镜检查前联合应用咪哒唑仑、芬太尼镇静是安全、有效的,极大地减轻了患者在胃镜检查时的不适感。Objective To valuate the effect and safety of injection of midazolam combined fentanyl in gastroscope inspection. Methods The data of 300 patients who received gastroseope inspection from January 2006 to Febuary 2007 were retrospectively analyzed to understand patients＇changes of HR, BP,R, SpO2, inspection response and effect on midazolain combined fentanyl injection. Results BP, HR and R of the patients reduced in 5 minute after midazolam combined fentanyl injection, but rebacked to normal range quickly. Only a few patients were irritable, hiccups or snored, which can not be recalled after inspection. Conclusion Midazolam combined fentanyl injection before gastroscope inspection is safe and effective. It could greatly alleviate patients＇ discomfort in gastroscope inspection.

关 键 词：胃镜检查 咪哒唑仑 芬太尼 

分 类 号：R573[医药卫生—消化系统] R614[医药卫生—内科学]