枸橼酸芬太尼联合丙泊酚对接受无痛胃肠镜检查的胃肠道疾病患者进行静脉麻醉的效果  

Effect of fentanyl citrate combined with propofol on intravenous anesthesia in patients with gastrointestinal diseases undergoing painless gastroenteroscopy

作　　者：温翔宇 Wen Xiangyu(Department of Anesthesiology,Dingxi People’s Hospital,Dingxi 743000,China)

机构地区：[1]定西市人民医院麻醉科,甘肃定西743000

出　　处：《当代医药论丛》2020年第13期99-101,共3页

摘　　要：目的:探讨使用枸橼酸芬太尼和丙泊酚对接受无痛胃肠镜检查的胃肠道疾病患者进行静脉麻醉的临床效果。方法:将2019年1月至10月在定西市人民医院进行无痛胃肠镜检查的60例胃肠道疾病患者随机分为甲组(30例)和乙组(30例)。使用盐酸右美托咪定和丙泊酚对甲组患者进行静脉麻醉。使用枸橼酸芬太尼和丙泊酚对乙组患者进行静脉麻醉。然后,比较两组患者丙泊酚的使用量、麻醉起效的用时、麻醉失效的用时、进行检查的总用时及不良反应的发生情况。结果:乙组患者丙泊酚的使用量少于甲组患者,P<0.05。乙组患者麻醉起效的用时、麻醉失效的用时及进行检查的总用时均短于甲组患者,P<0.05。乙组患者不良反应的总发生率低于甲组患者,P<0.05。结论:使用枸橼酸芬太尼和丙泊酚对接受无痛胃肠镜检查的胃肠道疾病患者进行静脉麻醉,可减少其丙泊酚的使用量,缩短其进行检查的时间,降低其不良反应的发生率。Objective:To investigate the clinical effect of fentanyl citrate and propofol on intravenous anesthesia in patients with gastrointestinal diseases undergoing painless gastroenteroscopy.Methods:60 patients with gastrointestinal diseases who underwent painless gastroenteroscopy in Dingxi People’s Hospital from January to October 2019 were randomly divided into Group A(30 cases)and group B(30 cases).Dexmedetomidine hydrochloride and propofol were used to administer intravenous anesthesia to patients in group A.Fentanyl citrate and propofol were used for intravenous anesthesia in group B.Then,the dosage of propofol,the duration of onset of anesthesia,the duration of failure of anesthesia,the total duration of examination,and the incidence of adverse reactions were compared between the two groups.Results:The amount of propofol in group B was less than that in group A(P<0.05).The time of onset of anesthesia,the time of failure of anesthesia and the total time of examination in group B were shorter than those in group A(P<0.05).The total incidence of adverse reactions in group B was lower than that in group A(P<0.05).Conclusion:Intravenous anesthesia with fentanyl citrate and propofol in patients with gastrointestinal diseases undergoing painless gastroenteroscopy can reduce the dosage of propofol,shorten the examination time,and reduce th e incidence of adverse reactions.

关 键 词：胃肠道疾病 无痛胃肠镜检查 静脉麻醉 枸橼酸芬太尼 丙泊酚 

分 类 号：R573[医药卫生—消化系统]