丙泊酚复合雷米芬太尼在结肠镜检查中的应用  

Application of propofol combined with remifentaniliva to coloscopy

作　　者：韦国温[1] 赵建立[1] 黄伟[1] 

机构地区：[1]百色市人民医院麻醉科,广西百色533000

出　　处：《华夏医学》2010年第5期517-519,共3页Acta Medicinae Sinica

摘　　要：目的:探讨丙泊酚复合雷米芬太尼在结肠镜检查中的应用效果。方法:选择结肠镜检查患者1 600例,随机均分为丙泊酚复合雷米芬太尼Ⅰ组和丙泊酚复合芬太尼Ⅱ组,记录诱导及苏醒时间,HR,SpO2,R,MAP。结果:Ⅰ组诱导及苏醒时间明显早于Ⅱ组(P<0.01),苏醒后Ⅰ组嗜睡、呕吐的发生率明显低于Ⅱ组(P<0.01),Ⅰ组诱导期躁动、检查中出现体动反应明显少于Ⅱ组(P<0.01),麻醉诱导期、维持期两组的心率、血压、呼吸频率、脉搏血氧饱和度均有所下降,差异没有统计学意义(P>0.05)。结论:丙泊酚复合雷米芬太尼在结肠镜检查中的应用是可行的。Objective： To evaluate the efficacy of propofol combined with remifentaniliva on coloscopy.Methods： 1600 patients accepted coloscopy were randomly divided into two groups： groupⅠapplied propofol plus remifentaniliva andⅡwith propofol plus fentanyl.Then the derivation and palinesthesia time,HR,SpO2,R, MAP were recorded.Results： The induction and analepsia time of the patients in groupⅠwas faster than that of groupII（P0.01）;the incidence rate of lethargy and vomiting in groupⅠwas obviously lower than that of groupⅡafter analepsia（P0.01）.The restlessness and bodymovement reaction in induction phase of groupⅠwere less than those of groupⅡ（P0.01）;the heart rate,blood pressure,respiratory rate and saturation of blood oxygen in patients of both groups decreased during the induction of anesthesia and sustain phase,which was of no statistical difference（P〈0.05）.Conclusion： The application of propofol combined with remifentaniliva to coloscopy is feasible.

关 键 词：丙泊酚 雷米芬太尼 结肠镜检查 

分 类 号：R614.24[医药卫生—麻醉学]