不同麻醉方案在经口内镜下胃肠检查中的应用效果对比  

Comparison of Application Effects of Different Anesthesia Schemes in Oral Endoscopic Gastrointestinal Examination

作　　者：李燕[1] 周锐钢 李安超 LI Yan;ZHOU Ruigang;LI Anchao(Anesthesiology Department of the Operating Room,Hebi Coal Industry(Group)Co.,Ltd.General Hospital,Hebi 458000,China)

机构地区：[1]鹤壁煤业(集团)有限责任公司总医院手术室麻醉科,河南鹤壁458000

出　　处：《河南医学研究》2023年第22期4128-4131,共4页Henan Medical Research

摘　　要：目的 探究两种不同麻醉方案在经口内镜下胃肠检查中的应用效果。方法 选取2021年8月至2022年8月于医院接受经口内镜下胃肠检查的500例患者作为研究对象,按随机数表法分为对照组和观察组,各250例。对照组接受丙泊酚联合舒芬太尼的麻醉方案,观察组接受丙泊酚联合舒芬太尼联合咪达唑仑的麻醉方案。比较两组生命体征变化、麻醉入睡用时、复苏用时、留院时间、不良反应发生情况、麻醉满意度等。结果 两组MAP、HR交互效应、组间效应无统计学意义(P>0.05),时点效应有统计学意义(P<0.05)。观察组麻醉入睡用时、复苏用时、留院时间短于对照组,差异有统计学意义(P<0.05)。观察组头晕、呕吐、呼吸抑制、术中低血压、体动等总不良反应发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者舒适度、家属满意度、胃镜操作者满意度高于对照组,差异有统计学意义(P<0.05)。结论 咪达唑仑复合应用在经口内镜下胃肠检查中可缩短麻醉入睡用时、复苏用时和留院时间,减少不良反应发生率,提高患者舒适度和家属、胃镜操作者满意度。Objective To explore the application effect of two different anesthesia schemes in oral endoscopic gastrointestinal examination.Methods From August 2021 to August 2022,a total of 500 patients who underwent oral endoscopic gastrointestinal examination in the hospital were selected as the research objects,and were randomly divided into control group and observation group,with 250 patients in each group.The control group received propofol combined with sufentanil,while the observation group received propofol combined with sufentanil combined with midazolam.The changes of vital signs,the time to sleep under anesthesia,the time to resuscitate,the time to stay in hospital,the occurrence of adverse reactions and the satisfaction of anesthesia were compared between the two groups.Results There was no statistical significance between the two groups in MAP,HR interaction effect and inter-group effect(P>0.05),but the time-point effect was statistical(P<0.05).The time spent in falling asleep,resuscitation and hospitalization in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of dizziness,vomiting,respiratory depression,intraoperative hypotension and body movement in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The patients’comfort,family satisfaction and gastroscope operator satisfaction in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The combined application of midazolam in oral endoscopic gastrointestinal examination can shorten the time of anesthesia sleep,resuscitation and hospitalization,reduce the incidence of adverse reactions,and improve the comfort of patients and the satisfaction of family members and gastroscope operators.

关 键 词：经口内镜 胃肠检查 麻醉方案 咪达唑仑 丙泊酚 效果 

分 类 号：R614[医药卫生—麻醉学]