摘要
目的探讨丙泊酚与芬太尼复合麻醉在无痛胃镜检查中的应用效果。方法将2009年5-8月本院220例进行无痛胃镜检查患者按照入组先后顺序,根据PEMS3.0产生的随机序列号分为观察组和对照组,每组各110例。对照组采用丙泊酚麻醉,观察组采用丙泊酚联合小剂量芬太尼麻醉,比较两组患者各项麻醉指标,术中不良反应发生率,术程血压(blood pressure,BP)、心率(heart rate,HR)、呼吸频率(respiratory rate,RR)、血氧饱和度(pulse oxygen saturation,SPO2)。结果观察组患者入睡时间、苏醒时间,术后意识清醒时间短于对照组,丙泊酚用量少于对照组,不良反应发生率低于对照组,术前后RR及BP比对照组稳定(均P﹤0.05)。结论芬太尼复合丙泊酚用于胃镜检查有利于缩短患者的入睡时间、清醒时间,稳定患者的血压,降低不良反应的发生,是一种较好的麻醉方法。
Objective To discuss the application effect of combined anesthesia of propofol and fentanyl in gastroscopy.Methods A total of 220 patients who were hospitalized in our hospital during May to August in 2009 and accepted gastroscopy examination were divided randomly into the observation group and the control group （110 cases in each group） according to the examination time order and the sequence number produced by PEMS3.0.The control group used only propofol,and the observation group used propofol compound with low doses of fentanyl.The BP,HR,RR,SPO2,the incidence of anesthetic complications and anaesthesia effect were compared between the two groups.Results The sleep time and the wake time in the observation group were shorter than those in the control group;the incidence of anesthetic complications was lower （P﹤0.05）and the BP was more steady （P﹤0.05） in the observation group those that in the control group.Conclusion Application of combined anesthesia of propofol and fentanyl in gastroscopy helps shorten the sleep time and the wake time,stabilize the patients′ BP and reduce the untoward effect.
出处
《现代临床护理》
2010年第11期27-29,共3页
Modern Clinical Nursing
关键词
丙泊酚
芬太尼
无痛胃镜
护理
propofol
fentanyl
gastroscopy with anaesthesia care
nursing
