无痛胃镜与普通胃镜的对比研究  

COMPARATIVE STUDY ON PAINLESS GASTROSCOPY AND ORDINARY GASTROSCOPY

作　　者：李强[1] 丁实[1] 崔智超[2] 周健宇[1] 

机构地区：[1]承德医学院,河北承德067000 [2]中国人民解放军第266医院

出　　处：《承德医学院学报》2012年第4期380-381,共2页Journal of Chengde Medical University

摘　　要：目的:观察无痛胃镜与普通胃镜在消化道疾病检查中的价值与安全性。方法:180例胃镜检查患者按个人意愿分为无痛胃镜检查组(芬太尼+丙泊酚静注,观察组)和普通胃镜检查组(对照组),每组各90例。观察记录两组患者的平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2),记录胃镜操作时间和不良反应情况等。结果:观察组患者术中、术后的MAP、HR、SpO2明显低于对照组,胃镜操作时间明显短于对照组,恶心呕吐、咳嗽、咽部不适、疼痛等不良反应的发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论:采用丙泊酚联合芬太尼的无痛胃镜检查安全、有效,患者不良反应少,值得临床推广应用。Objective：To observe the value and security of painless gastroscopy and ordinary gastroscopy in examination of digestive tract diseases.Methods：180 patients were divided into 2 group according to the patients＇ individual will,with 90 patients in each group： painless gastroscopy group（fentanyl＋propofol,observation group） and ordinary gastroscopy group（control group）.The MAP,HR,SpO2,gastroscope operation time and adverse reactions of patients in these 2 groups were recorded.Results：The MAP,HR and SpO2 of patients in observation group during and after operation were all obviously lower than that of patients in control group（P0.05）.The gastroscope operation time of observation group was significantly shorter than control group（P0.05）.The incidence rate of adverse reaction of observation group,such as nausea and vomiting,cough,throat discomfort and pain,was remarkably lower than control group（P0.05）.Conclusions： Fentanyl combined propofol used in painless gastroscopy is safe and effective,and is worthy of using widely.

关 键 词：无痛胃镜 芬太尼 异丙酚 麻醉 消化系统 

分 类 号：R573[医药卫生—消化系统]