丙泊酚联合地佐辛在老年患者无痛胃镜检查中的效果观察  

Application of Propofol Combined with Dezocine in Painless Gastroscopy of Senile Patients

作　　者：张树兵[1] 候凯文 郭波[1] 张桂祯[3] 

机构地区：[1]成都军区机关第一门诊部麻醉科,成都610011 [2]成都军区总医院门诊 [3]成都军区机关第一门诊部信息科,成都610011

出　　处：《西南军医》2015年第5期493-494,共2页Journal of Military Surgeon in Southwest China

摘　　要：目的观察丙泊酚联合地佐辛在老年患者无痛胃镜检查中的效果及安全性。方法选择无痛胃镜检查的老年患者120例,随机分为丙泊酚联合地佐辛组(观察组)和丙泊酚联合芬太尼组(对照组),每组各60例。记录两组患者在不同时间点的平均动脉压(MAP)、心率(HR)、血氧饱和度(Sp O2),麻醉苏醒时间和丙泊酚用量,观察术后恶心、呕吐等不良反应的发生;对结果进行组间比较。结果两组患者的MAP、Sp O2、苏醒时间及丙泊酚用量上存在差异,但在不良反应发生上,差异无统计学意义。结论丙泊酚联合地佐辛用于老年患者无痛胃镜检查,可明显减少丙泊酚用量,缩短苏醒时间,保持呼吸、循环稳定,具有良好的安全性。Objective To observe the effect of propofol combined with dezocine in painless gastroscopy of senile patients and the safety. Methods 120 cases to undergo painless gastroscopy were selected and randomly divided into 2 groups：observation group（propo-fol＋dezocine）and control group（propofol＋fentanyl）, 60 in each;the changes of MAP, heart rate, SpO2 at each time point, the revival time and the propofol dosage were recorded and observation was made to the occurrence of side effects; a comparative analysis was made between the 2 groups. Results There existed statistical differences in MAP, SpO2, the revival time and the propofol dosage be-tween the 2 groups while no statistical difference was found in the occurrence of side effects. Conclusions The application of propofol combined with dezocine in painless gastroscopy of senile patients can obviously reduce the propofol dosage, shorten the revival time, keep respiration and circulation stable, and it is of greater safety.

关 键 词：地佐辛 芬太尼 丙泊酚 老年患者 无痛胃镜 

分 类 号：R573[医药卫生—消化系统]