七氟醚联合丙泊酚在强制性胃镜下上消化道异物取出术麻醉中的应用  

Application of sevoflurane combining with propofol in enforced removal of upper gastrointestinal tract foreign bodies

作　　者：李翔[1] 范志宁[2] 陈惠裕[1] 吴明浩[1] 

机构地区：[1]南京医科大学第二附属医院麻醉科,江苏南京210011 [2]南京医科大学第二附属医院消化医学中心,江苏南京210011

出　　处：《中国内镜杂志》2013年第12期1276-1278,共3页China Journal of Endoscopy

摘　　要：目的探讨七氟醚联合丙泊酚对特殊人群强制性全身麻醉下胃镜下上消化道异物取出术中的应用效果。方法对50例拒绝建立静脉通路的上消化道异物的特殊人群患者行七氟醚联合丙泊酚全身麻醉胃镜下异物取出术,记录麻醉前、静脉给药时、静脉给药后30 s、治疗结束时和苏醒时的平均动脉压(MAP)、心率(HR)、呼吸频率(RR)、脉搏氧饱和度(SPO2)等生命体征;并记录麻醉诱导时间、手术操作时间、苏醒时间及各时间点的并发症发生情况。结果 49例患者均顺利接受胃镜治疗,1例转开腹取出。与麻醉前相比,静脉给药时MAP和HR明显升高(P<0.05);而RR与SPO2差异无显著性(P>0.05)。麻醉中仅1例患者治疗中出现低血压。结论对特殊人群的上消化道异物,七氟醚联合丙泊酚麻醉下胃镜治疗成功率高,安全性好,值得临床推广应用。【Objective】The aim of this study was to explore the efficacy of sevoflurane combining with propofol in enforced removal of upper gastrointestinal tract foreign bodies of the special populations. 【Methods】50 special patients suffered from upper gastrointestinal tract foreign bodies and rejected intravenous puncture accepted painless gastroscope therapy in sevoflurane and propofol aneasthesia. MAP, HR, RR and SPO2were monitored and recorded before aneasthesia, the time of intravenous injection, 30 s after intravenous injection, during gastroscopic therapy and the time of recovery. The aneasthesia induction time, the therapy time and the recovery time were calculated. In addition, the side effects were also noted.【Results】Foreign bodies of 49 patients（49/50） were removed. Compared with pre-aneasthesia, MAPand HR were significantly increased in the time of intravenous injection（P 0.05）.However, RR and SPO2were not effected. Only one patient had hypotension. 【Conclusion】Sevoflurane combining with propofol in removal of upper gastrointestinal tract foreign bodies in the special populations is effective and safe and should be used extensively.

关 键 词：特殊人群 上消化道异物 丙泊酚 七氟醚 

分 类 号：R649.4[医药卫生—外科学] R614.2[医药卫生—临床医学]