瑞芬太尼复合丙泊酚在胃肠镜检查中的应用  

Application of Remifentanil and Propofol in Gastroscopy

作　　者：和建飞 孟远光 安义宾 HE Jianfei;MENG Yuanguang;AN Yibin(Department of Anesthesiology,Beijing Renhe Hospital,Beijing 102600,China)

机构地区：[1]北京市仁和医院麻醉科,北京102600

出　　处：《中国卫生标准管理》2020年第5期126-128,共3页China Health Standard Management

摘　　要：目的探讨瑞芬太尼与丙泊酚复合静脉麻醉在胃肠镜检查中的效果。方法选择2018年8月—2019年4月于我院进行无痛胃肠镜检查的128例患者作为研究对象,以随机数表法将其分为两组,即对照组与研究组各64例。研究组应用瑞芬太尼与丙泊酚复合静脉麻醉,对照组应用丙泊酚麻醉。对比两组不同检查时间点心率与平均动脉压的变化、恢复时间、丙泊酚用量,以及麻醉相关不良反应情况。结果研究组胃镜过咽时、术后10 min时心率与平均动脉压指标均高于对照组(P<0.01)。研究组意识恢复时间、丙泊酚用量低于对照组(P<0.01)。两组麻醉相关不良反应的发生率为对比差异无统计学意义(P>0.05)。结论瑞芬太尼与丙泊酚复合静脉麻醉在胃肠镜检查中具有显著的应用效果。Objective To explore the effect of remifentanil and propofol combined intravenous anesthesia in gastroenteroscopy.Methods From August 2018 to April 2019,128 patients undergoing painless gastroscopy in our hospital were divided into control group and study group with 64 cases each.Remifentanil combined with propofol was used in the study group,while propofol was used in the control group.The changes in heart rate and mean arterial pressure,recovery time,propofol dosage,and anaesthesiarelated adverse reactions at different time points were compared between the two groups.Results The heart rate after gastroscopy through pharynx and 10 min after surgery and mean arterial pressure in the study group were higher than those in the control group(P<0.01).Consciousness recovery time and propofol dosage in the study group were lower than those in the control group(P<0.01).The incidence of anaesthesia-related adverse reactions in the two groups showed no statistically significant difference(P>0.05).Conclusion Remifentanil and propofol combined intravenous anesthesia has a significant effect in gastroenteroscopy.

关 键 词：瑞芬太尼 丙泊酚 静脉麻醉 胃肠镜 无痛检查 应用效果 

分 类 号：R614[医药卫生—麻醉学]