快速推注竟安在胃镜检查术中的临床应用  

The application of propofol(MCT Fresnius) which was intravenous rapid injection for painless gastroscopy

作　　者：姚文建[1] 童先祥[1] 万永灵[1] 

机构地区：[1]四川省医学科学院.四川省人民医院麻醉科,四川成都610072

出　　处：《四川医学》2013年第4期482-484,共3页Sichuan Medical Journal

摘　　要：目的观察静脉内快速推注竟安在胃镜检查术中的安全性及效果。方法选择无过度肥胖,无癫痫及高过敏史,ASAⅠ～Ⅱ级,16～55岁,拟做胃镜检查患者126例,随机分成A、B两组(每组63例,非A即B)。A组:推注速度5mg/s,B组:推注速度30mg/s。动态观察MAP(平均动脉压)、HR(心率)、SpO2(指端末氧饱和度)值,术中患者躁动情况,记录用药总量;手术及苏醒时间。结果术前、术中和术后A、B两组MAP、HR、SpO2之间的差异无统计学意义(P>0.05);A组1例SpO2低于80%2min以上,躁动而终止检查;术中躁动例数两组之间的差异有统计学意义(P<0.05);每例用药总量A组大于B组,差异有统计学意义(P<0.05);A组的苏醒时间相对于B组有延长的趋势。结论快速推注竟安可以安全地运用于门诊胃镜检查术中,用药量小,苏醒快,是值得推荐的一种好方法。Objective To investigate the security and effectiveness of propofol （MCT Fresnius） which was intravenous rapid injection for painless gastroscopy. Methods 126 patients with ASA I - 11 grade, age 16-55 years ,without the history of obesity, epilepsy and allergy were randomly divided into A, B groups, with 63 cases in each group. The propofol was injected at the rate of 5 mg/s in Group A ,30 mg/s in Group B. The mean arterial pressure ,heart rate ,SpO2 were monitored, the restlessness ,total drug dose and the awake time were recorded. Results At the three points, the MAP,HR and SpO2 were no difference between group A and group B （ P 〉 0.05 ）. One patient was exited because of SpO2 〈 80% for more than two minutes. The quantity of fretful patients and the total drug dose were different between group A and group B （P 〈 0. 05 ）. In group A, the total drug dose was higher than group B and the awake time was delayed. Conclusion It was safe and effective that propofol （ MCT Fresnius ） was intravenous rapid injection for painless gastroscopy.

关 键 词：丙泊酚 注药方式 胃镜检查术 效果 并发症 

分 类 号：R614[医药卫生—麻醉学]