丙泊酚联合地佐辛麻醉在无痛胃肠镜手术中的临床应用价值  

The Clinical Application Value of Propofol Combined with Dezocine Anesthesia in Painless Gastrointestinal Surgery

作　　者：傅丹泓 高贤伟 彭梅静 FU Danhong;GAO Xianwei;PENG Meijing(Department of Anesthesiology,Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,350003 China)

机构地区：[1]福建中医药大学附属康复医院麻醉科,福建福州350003

出　　处：《中外医疗》2021年第32期92-94,116,共4页China & Foreign Medical Treatment

基　　金：中央领导地方科技发展专项(2018L3009)。

摘　　要：目的探讨将丙泊酚配伍地佐辛应用于无痛胃肠镜手术患者麻醉中的效果,分析对患者麻醉质量产生的影响。方法简单随机选取2020年9月—2021年6月该院接收且符合实验标准的无痛胃肠镜手术患者80例作为研究对象,随机分为对照组与研究组,每组40例。对照组患者在检查过程中单纯应用丙泊酚进行麻醉,研究组患者在过程中给予丙泊酚配伍地佐辛,在手术完成后记录所有患者的疼痛状况。结果在手术完成后,研究组患者的麻醉优良率92.50%明显高于对照组57.50%,差异有统计学意义(χ^(2)=13.066,P<0.05);两组患者手术时、手术后疼痛评分比较,研究组患者的VAS评分低于对照组,差异有统计学意义(P<0.05);研究组患者的丙泊酚用量(2.65±0.36)mL、术后苏醒时间(5.32±0.26)min明显优于对照组,差异有统计学意义(t=26.406、36.994,P<0.05)。结论在对无痛胃肠镜手术手术患者进行麻醉时,将丙泊酚配伍地佐辛麻醉应用于其中,能够获得良好的效果,并且具有较高的安全性。Objective To investigate the effect of applying propofol and dizocine in anesthesia for patients undergoing painless gastrointestinal surgery,and to analyze the effect on the quality of anesthesia for patients.Methods Simple random selection of 80 patients with painless gastrointestinal surgery accepted in the hospital from September 2020 to June 2021 who met the experimental standards were selected as the research objects,and they were randomly divided into the control group and the study group,with 40 cases in each group.Patients in the control group were given propofol alone for anesthesia during the examination,and the patients in the study group were given propofol and dezocine during the process,and the pain status of all patients was recorded after the operation was completed.Results After the operation was completed,the excellent anesthesia rate of the study group was 92.50%significantly higher than that of the control group 57.50%,the difference was statistically significant(χ^(2)=13.066,P<0.05).The pain scores during and after operation were compored between the two groups,the VAS score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05);the dosage of propofol in the study group was(2.65±0.36)mL,and the postoperative recovery time was(5.32±0.26)min,significantly better than the control group,and the difference was statistically significant(t=26.406,36.994,P<0.05).Conclusion When anesthetizing patients undergoing painless gastrointestinal surgery,applying propofol and dezocine anesthesia can achieve good results and have high safety.

关 键 词：手术 丙泊酚 地佐辛 血流动力学 影响分析 

分 类 号：R614[医药卫生—麻醉学]