丙泊酚复合芬太尼用于无痛胃镜诊治效果评价  

Anesthetic effect evaluation on propofol combined with fentanyl in gastroscopic examination

作　　者：幸小英 吴周环[2] 

机构地区：[1]瑞昌市中医医院,江西瑞昌332200 [2]九江学院基础医学院,江西九江332000

出　　处：《九江医学》2009年第4期1-3,共3页Jiujiang Medical Journal

摘　　要：目的:研究小剂量丙泊酚复合芬太尼应用于门诊胃肠镜诊治术的麻醉效果以及对呼吸、循环功能的影响,评价其实用性及安全性。方法:比较胃镜麻醉组和对照组检查中的反应及检查前、中、后BP、HR及PO2的变化。结果:从注射丙泊酚至意识消失时间(33±6.5)s,胃镜检查治疗时间4～8 min,意识恢复时间(7.5±4.1)min,定向力恢复时间(22.5±3.1)min,所有患者均在定向力恢复之后20～30 min步行离院。麻醉组恶心、呕吐、咳嗽、躁动发生率分别为1.2%、3.8%、1.2%,对照组为97.5%、22.5%、28.8%,p<0.001。胃镜检查麻醉组耐受性好。结论:小剂量异丙酚复合芬太尼静脉麻醉用于胃镜检查,安全有效,耐受性好,有利于观察病灶。OBJECTIVE： To evaluate anesthetic effect of small - dose propofol combined with fentanyl in gastroseopie examination. METHOD ： Side effects and changes of BP, HR and SPO2 had been compared between the trial group and control group before, amid and after examination. RESULTS ： In the trial group, time from injection of propofol to loss of was 33 ±6.5 seconds; Examination time was 4 ~ 8 minutes; Consciousness recovery time was 7.5 ± 4. 1 minutes; Orientation recovery time was 22. 5 ± 3. 1 minutes. All patient left hospital by themselves 20 ~ 30minutes after orientation recovered. Incidence of nausea, vomiting, cough and dysphoria was 1.2% , 3. 8%, 1.2% respectively in trial group and 7.5% , 22. 5%, 28.8% in control group （ p 〈0. 001 ）. CONCLUSION： Small -dose propofol combined with fentanyl is a safe and tolerant anesthetic method for gastroscopic examination.

关 键 词：丙泊酚 芬太尼 静脉麻醉 胃镜 诊断 

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