苯磺酸瑞马唑仑联合阿芬太尼在老年无痛胃肠镜检查患者中的效果  

Effect of Remimazolam Besylate Combined with Alfentanil in Elderly Patients Undergoing Painless Gastroenteroscopy

作　　者：张峰 许丽华 龙建平 ZHANG Feng;XU Lihua;LONG Jianping(Nanping People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Nanping 353000,China;不详)

机构地区：[1]福建中医药大学附属南平人民医院,福建南平353000

出　　处：《中外医学研究》2024年第13期34-37,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建中医药大学校管科研课题项目(XB2022082)。

摘　　要：目的:分析老年无痛胃肠镜检查患者应用苯磺酸瑞马唑仑联合阿芬太尼的效果。方法:选取2022年7月—2023年5月福建中医药大学附属南平人民医院收治的80例老年无痛胃肠镜检查患者作为研究对象,根据随机数表法将其分为对照组(40例)和试验组(40例)。对照组检查期间应用丙泊酚联合阿芬太尼,试验组检查期间采用苯磺酸瑞马唑仑联合阿芬太尼,比较两组苏醒时间、检查时间、离室时间和不良反应发生率、生命体征变化情况。结果:试验组苏醒时间、检查时间、离室时间显著短于对照组,差异有统计学意义(P<0.05);试验组不良反应发生率低于对照组,差异有统计学意义(P<0.05);试验组麻醉后5 min、操作结束后生命体征较对照组更平稳,差异有统计学意义(P<0.05)。结论:老年无痛胃肠镜检查患者应用苯磺酸瑞马唑仑联合阿芬太尼具有良好的效果,可缩短苏醒时间、检查时间、离室时间,并减少不良反应发生,生命体征更稳定。Objective:To analyze the application effect of Remimazolam Besylate combined with Alfentanil in elderly patients undergoing painless gastroenteroscopy.Method:A total of 80 elderly patients undergoing painless gastroenteroscopy who admitted to Nanping People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from July 2022 to May 2023 were selected as the study objects,they were divided into the control group(40 cases)and the experimental group(40 cases)according to the random number table method.The control group was treated with Propofol combined with Alfentanil during examination,and the experimental group was treated with Remimazolam Besylate combined with Alfentanil during examination,the awakening time,examination time,leaving time,incidence of adverse reactions and changes of vital signs were compared between two groups.Result:The awakening time,examination time and leaving time of the experimental group were shorter than those of the control group,the differences were statistically significant(P<0.05);the incidence of adverse reactions in the experimental group was significantly lower than that in the control group,the difference was statistically significant(P<0.05);the vital signs of the experimental group at 5 min after anesthesia and after operation were more stable than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of Remimazolam Besylate combined with Alfentanil in elderly patients undergoing painless gastroenteroscopy has good effect,which can shorten the awakening time,examination time and leaving time,reduce the occurrence of adverse reactions,and make the vital signs more stable.

关 键 词：老年 无痛胃肠镜检查 苯磺酸瑞马唑仑 阿芬太尼 

分 类 号：R614[医药卫生—麻醉学]