摘要
目的观察雷米芬太尼复合小剂量丙泊酚用于老年患者胃镜检查的麻醉效果。方法胃镜检查老年患者348例随机分为两组,分别应用雷米芬太尼(R组)和丙泊酚(P组)持续静脉泵注维持麻醉。比较两组胃镜检查时间、麻醉药用量、术中循环和呼吸抑制情况以及苏醒时间、术后对手术过程的记忆及满意度评分。结果术后两组患者对手术过程均较满意。与P组比较,R组严重血压下降和呼吸抑制发生率较低,且苏醒快(P<0.05);但R组术后对手术过程有记忆的发生率较高(P<0.05)。结论雷米芬太尼复合小剂量丙泊酚可以安全有效地用于老年患者胃镜检查的麻醉。
Objective To evaluate the outcomes of anesthesia with remifentanil and low-dose propofol for gastroscopy in the elderly. Methods A total of 348 patients aged 65-100 years old was equally randomized into two groups of R（anesthesia maintenance with remifentanil 4μg/min pumping） and P（anesthesia maintenance with propofol 4 mg/min pumping）. The gastroscopy time, amounts of remifentanil and propofol used, and anesthesia-related indicators were compared between two groups. Results The patients were all satisfactory to the process of gastroseopy. The incidence rates of severe circulatory and respiratory depression were lower in group R than those in group P（P〈0. 05）. But the incidence of postoperative memory about the process of gastroscopy was higher in group R than that in group P（P〈0. 05）. Conclusion Remifentanil combined with low-dose propofol can be used safely and effectively in the elderly undergoing gastroscopy.
出处
《江苏医药》
CAS
北大核心
2014年第1期83-85,共3页
Jiangsu Medical Journal
