摘要
目的探讨异丙酚麻醉胃镜诊疗的药物副反应和诊疗并发症的防治。方法回顾性分析应用异丙酚麻醉胃镜诊疗的4316例患者的临床资料,总结异丙酚麻醉下胃镜的诊疗效果、应用药物副反应、异丙酚胃镜诊疗的并发症和采取的防治措施。结果所有诊疗均顺利完成,无不适记忆。所有患者血氧饱和度、血压、心率有不同程度下降,以老年组较为明显,所有低血氧症、低血压症均为轻度和一过性,除2例因操作失误,导致较严重低氧血症,给予面罩给氧外,其余患者均无需处理。有注药部位疼痛165例(3.8%),呛咳31例(0.7%),呃逆15(0.3%),眩晕、四肢乏力、走路不稳279(6.5%)。结论应用异丙酚麻醉胃镜诊疗,药物性副反应为轻度和一过性的,诊疗并发症可通过技巧性操作减少,甚至避免。异丙酚麻醉胃镜诊疗是安全有效的。
[Objective] To sum up the effect and complications of endoscopic examinations or treatments under anaesthesia with propofol and pharmic side effect of propofol. [Methods] All of 4316 consecutive endoscopic examinations or treatments under sedation with propofol were reviewed retrospectively. [Results] All endoscopic examinations or treatments were completed successfully without any uncomfortable recollections, and their oxygen saturation, heart rate and blood pressure declined in different extents with significant level in the oldest group. However, all symptoms of hypotension and hypoxemia were slight and transient and did not need special treatment except 2 patients who suffered from severe hypoxemia because of misplay and had to be put mask ventilation. 165（3.8%） cases had pain at the injection site, 31（0.7%） cases had choke, 15（0.3%） cases had haw and 279（6.5%） cases were vertigo, lassitude and totter. [Conclusion] Pharmic side effect is slight and transient during endoscopic examinations or treatments with propofol anaesthesia and the complications can be prevented by professional manipulation. The methods are proved to be safe.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第5期520-523,共4页
China Journal of Endoscopy
关键词
胃镜
异丙酚
并发症
gastral endoscopy
propofol
complication
