无痛胃肠镜麻醉临床应用体会  

Clinical application of anesthesia painless gastroscopy

作　　者：宋俊岭[1] 

机构地区：[1]河南省郑州市中心医院,河南郑州450007

出　　处：《中国当代医药》2012年第2期84-85,共2页China Modern Medicine

摘　　要：目的:探讨应用异丙酚实施无痛胃肠镜检查的临床价值及体会。方法:将2009年5月～2011年5月收治的260例患者随机分为A组(丙泊酚联合芬太尼组)、B组(丙泊酚联合氯胺酮组)行麻醉进行胃肠镜检查。观察患者苏醒时间、离院时间、BP、HR、SpO2及不良反应率情况。结果:所有患者均顺利完成胃肠镜检查。两组患者检查后HR、BP、SpO2变化比较,差异无统计学意义(P>0.05)。两组患者呼吸抑制率、恶心呕吐率比较,差异均有统计学意义(P<0.05)。结论:应用异丙酚联合芬太尼/氯胺酮实施静脉全麻均能顺利完成无痛胃肠镜检查,值得临床推广应用。术前应多了解患者的病史和体检情况,术中密切观察可减少不良反应,避免并发症。Objective： To explore the implementation of propofol painless gastrointestinal endoscopy and clinical value of experience. Methods： Two hundred and sixty patients from May 2009 to May 2011 were randomly divided into group A （propofol combined with fentanyl group）, group B （propofol combined with ketamine group） anesthesia for gastrointestinal endoscopy. To observe the recovery time, discharge time, BP, HR, SpO2 and the rate of adverse reactions. Results： All patients were successfully completed during gastrointestinal endoscopy. HR, BP, SpO2 of two groups compared, the difference were not statistically significant （P0.05）. Respiratory depression rate, nausea, vomiting, discharge rate of two groups compared, the differences were statistically significant （P0.05）. Conclusion： Application of propofol combined with fentanyl/ketamine intravenous anesthesia can successfully implement painless gastrointestinal endoscopy, is worthy of clinical application. Preoperative learn more about the history and physical examination, surgery can reduce the adverse reactions observed closely to avoid complications.

关 键 词：无痛 胃肠镜 异丙酚 诊断和治疗 麻醉 

分 类 号：R614[医药卫生—麻醉学]