摘要
目的:分析丙泊酚加阿片类镇痛药在无痛胃肠镜中的麻醉效果.方法:选取2022年1月—2023年1月在山东省济宁市金乡县人民医院接受治疗的102例进行无痛胃肠镜麻醉患者为研究对象,根据抽签结果随机分为对照组和观察组,各51例.对照组给予丙泊酚,观察组给予丙泊酚加阿片类镇痛药,比较两组麻醉后的生理指标变化、麻醉满意度评分、苏醒时间、不良反应发生率.结果:T_(0)、T_(1)时,两组心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO_(2))比较,差异无统计学意义(P>0.05);T_(2)时,观察组HR、MAP水平高于对照组,差异有统计学意义(P<0.05),T_(2)时,观察组SpO_(2)水平高于对照组,但差异无统计学意义(P>0.05).观察组麻醉满意度评分高于对照组,苏醒时间短于对照组,差异有统计学意义(P<0.05).观察组总不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论:进行无痛胃肠镜检查时,应用丙泊酚加阿片类镇痛药进行麻醉,可减少麻醉不良反应,具有更好的麻醉效果,且安全性高.
Objective Analysis of the anesthesia effect of Propofol combined with Opioid analgesics in painless gastroscopy.Methods 102 patients who underwent painless gastroscopy anesthesia at Jinxiang County People's Hospital in Jining City,Shandong Province from January 2022 to January 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 51 patients in each group,based on the results of the draw.The control group was treated with propofol,while the observation group was treated with Propofol plus Opioid analgesics.The physiological indicators,anesthesia satisfaction score,awakening time,and incidence of adverse reactions were compared between the two groups after intervention.Results At T_(0) and T_(1),there was no statistically significant difference in heart rate(HR),mean arterial pressure(MAP),and blood oxygen saturation(SpO_(2))between the two groups(P>0.05).At T_(2),the HR and MAP levels in the observation group were higher than those in the control group,with statistical significance(P<0.05).At T_(2),the SpO_(2) levels in the observation group were higher than those in the control group,but the difference was not statistically significant(P>0.05).The satisfaction score of anesthesia in the observation group was higher than that in the control group,and the awakening time was shorter than that in the control group,with a statistically significant difference(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions When performing painless gastroscopy,the use of Propofol combined with Opioid analgesics can reduce adverse anesthetic reactions,resulting in better anesthesia efficacy and high safety.
作者
佟玉顺
智硕
TONG Yushun;ZHI Shuo(Department of Anesthesiology,Jinxiang County People's Hospital,Jining,Shandong 272200,China)
出处
《医药前沿》
2024年第4期12-14,共3页
Journal of Frontiers of Medicine
关键词
无痛胃肠镜
丙泊酚
阿片类镇痛药
麻醉
Painless gastroscopy
Propofol
Opioid analgesics
Anaesthesia
