丙泊酚复合舒芬太尼麻醉用于无痛胃肠镜的效果及麻醉复苏情况分析  

Analysis of the Effect of Propofol Combined with Sufentanil Anesthesia for Painless Gastrointestinal Endoscopy and Anesthesia Recovery

作　　者：武海波 邵延峰[2] 于建水 WU Haibo;SHAO Yanfeng;YU Jianshui(Anesthesiology Department,Feicheng People's Hospital,Feicheng,Shandong,271600,China;Anesthesiology Department,Jinxiang County People's Hospital,Jinxiang,Shandong,272200,China)

机构地区：[1]肥城市人民医院麻醉科,山东肥城271600 [2]金乡县人民医院麻醉科,山东金乡272200

出　　处：《中外医疗》2024年第30期86-89,共4页China & Foreign Medical Treatment

摘　　要：目的探讨开展无痛胃肠镜检查时提供丙泊酚复合舒芬太尼方案进行麻醉的作用及对麻醉复苏的影响。方法方便选取2022年10月—2023年10月于肥城市人民医院接受无痛胃肠镜检查的98例患者为研究对象,根据不同麻醉方法分为对照组和研究组,每组49例。对照组使用丙泊酚,观察组使用丙泊酚复合舒芬太尼,比较两组患者的麻醉及复苏效果、不同时间点的血流动力学指标、不良反应及认知功能评分。结果观察组丙泊酚用量低于对照组,麻醉诱导时间及麻醉恢复时间均短于对照组,差异有统计学意义(P均<0.05);两组检查时间和麻醉苏醒时间比较,差异无统计学意义(P均>0.05)。两组患者在麻醉前、入睡后、麻醉苏醒时的心率(heart rate,HR)、平均动脉压(mean arterial pressure,MAP)和血氧饱和度(blood oxygen saturation,SpO_(2))比较,差异无统计学意义(P均>0.05);在检查中,观察组HR、MAP均高于对照组,差异有统计学意义(P均<0.05);两组SpO_(2)比较,差异无统计学意义(P>0.05)。观察组不良反应总发生率为8.16%(4/49),低于对照组的12.24%(6/49),但差异无统计学意义(χ^(2)=0.445,P>0.05)。麻醉前、麻醉苏醒1 h后两组的认知功能评分比较,差异无统计学意义(P均>0.05);麻醉苏醒30 min,观察组的认知功能评分高于对照组,差异有统计学意义(P<0.05)。结论丙泊酚复合舒芬太尼可有效保证无痛胃肠检查的麻醉效果和复苏效果,保证麻醉安全性。Objective To investigate the effect of propofol combined with sufentanil on anesthesia and its effect on an⁃esthesia recovery during painless gastrointestinal endoscopy.Methods 98 patients who underwent painless gastrointes⁃tinal endoscopy in Feicheng People's Hospital from October 2022 to October 2023 were conveniently selected as the research objects.According to different anesthesia methods,they were divided into control group and observation group,49 cases in each group.The control group was treated with propofol,and the observation group was treated with propofol combined with sufentanil.The anesthesia and resuscitation effects,hemodynamic indexes at different time points,adverse reactions and cognitive function scores were compared between the two groups.Results The dosage of propofol in the observation group was lower than that in the control group,and the anesthesia induction time and anes⁃thesia recovery time were shorter than those in the control group,the differences were statistically significant(all P<0.05);there was no significant difference in the examination time and anesthesia recovery time between the two groups(both P>0.05).There was no significant difference in heart rate(HR),mean arterial pressure(MAP)and blood oxygen saturation(SpO_(2))between the two groups before anesthesia,after falling asleep and after anesthesia recovery(all P>0.05);during the examination,HR and MAP in the observation group were higher than those in the control group,and the differences were statistically significant(both P<0.05);there was no significant difference in SpO_(2) between the two groups(P>0.05).The total incidence of adverse reactions in the observation group was 8.16%(4/49),which was lower than 12.24%(6/49)in the control group,but the difference was not statistically significant(χ^(2)=0.445,P>0.05).There was no significant difference in cognitive function score between the two groups before anesthesia and 1 hour after an⁃esthesia recovery(both P>0.05);after 30 min of anesthesia recovery,the cogniti

关 键 词：丙泊酚 舒芬太尼 无痛胃肠镜 麻醉复苏 麻醉效果 不良反应 

分 类 号：R614[医药卫生—麻醉学]