摘要
[目的]探讨笑气镇静下用于胃肠镜检查静脉麻醉高风险人群中的效果与安全性。[方法]选取120例经胃肠镜检查的静脉麻醉高风险人群为研究对象,将其按照随机数字表法分为研究组与对照组,各60例。研究组采取笑气镇静下胃肠镜检查,对照组采取常规氧气吸入下胃肠镜检查。[结果]心电监护的过程中,研究组心动过速0例、低氧血症1例,对照组心动过速2例、低氧血症1例;研究组、对照组患者对医师检查操作满意度评分分别为(87.3±4.6)分、(72.6±5.7)分,自我感觉满意度评分分别为(86.1±4.8)分、(70.4±4.5)分,耐受性好分别为80.0%、50.0%,2组比较均差异有统计学意义(P<0.05)。[结论]笑气镇静下用于胃肠镜检查静脉麻醉高风险人群能够有效避免常规胃肠镜检查所导致的心动过速的发生,患者耐受力好,值得临床中应用。
[Objective]To investigate the nitrogen oxide sedation for gastrointestinal endoscopy exam under intravenous anesthesia in high-risk populations and its safety. [Methods]The total of 120 cases with high risk for gastrointestinal endoscopy exam after intravenous anesthesia during 2013-10-2014-10 were involved ,which were randomly divided into two groups with 60 cases in each group. The cases in study group received nitrogen oxide sedation gastrointestinal endoscopy. While in the the control group, the cases received oxygen inhalation during the conventional gastrointestinal endoscopy. [Results]One case appeared hypoxia in both groups. There were 2 cases with the sign of tachycardia in the control group. While in the study group,no case showed tachycardia. The study showed that nitrous oxide anesthesia could be used in high risk cases who couldn＇t be prescribed vein anesthetic agents. The average score of operation saris{ac- tion in the study group（87.3±4.6）was much more higher than the control group（72.6±5.7）. The scores of self-satisfaction. of patients in study group were 86. 1 ± 4. 8, which was higher than that in the control group（70.4±4.5）. Also,patients＇tolerance of operation in the study group was better than control group （80.0% vs 50.0%）. [Conclusion]During the operation of gastrointestinal endoscopy exam, nitrous oxide anesthesia shows good tolerance and is safer than vein anesthesia for people with high risk, which is worthy of promoting.
出处
《临床消化病杂志》
2016年第1期23-25,共3页
Chinese Journal of Clinical Gastroenterology
关键词
胃肠镜检查
笑气
静脉麻醉
高风险人群
gastrointestinal endoscopy
nitrogen oxide
intravenous anesthesia
high-risk groups
