期刊文献+

异丙酚复合小剂量芬太尼在胃镜检查中的应用

暂未订购
导出
摘要 目的观察丙泊酚复合芬太尼用于无痛苦胃镜检查的效果及并发症。方法选取自愿要求做无痛苦胃镜检查的患者300例,观察在静脉麻醉下生命体征变化,对内镜插入刺激的耐受性,药物及检查的主要不良反应。结果300例中除3例被迫停止胃镜检查外,其余均在麻醉下顺利完成胃镜检查,无痛苦胃镜易发生下颌松驰,出现短暂性呼吸抑制,血氧饱和度轻微下降。结论无痛苦胃镜应注意呼吸循环系统管理,术前合并严重心肺疾病患者应避免此项检查。丙泊酚复合芬太尼具有作用迅速,苏醒快、镇痛镇静完全等特点,它消除了传统胃镜检查给患者带来的恐惧心理和不良刺激,有利于检查和治疗。
作者 叶建荣 范涛
出处 《地方病通报》 2008年第6期89-89,91,共2页 Endemic Diseases Bulletin
  • 相关文献

参考文献3

二级参考文献13

  • 1McCloy R, Nagengast F, Fried M,et al. Conscious sedation for endoscopy. Eur J Gastroenterol Hepatol, 1996; 8:1233~1240.
  • 2Reves JG,Fragah RG , Vinik FIR ,et al. Midzolm:Pharmacology.Anesthesiology , 1985 ; 62: 310~324.
  • 3Carlsson U, Grattidge P. Sedation for upper gastroimestinal endoscopy: a comparative study of propofol and midazolam. Endoscopy, 1995; 27: 240~243.
  • 4Bcrggen L, Eriksson I, Mollenholt , et al. Sedation for fibreoptic gastroscopy: A comparative study of midazolam and diazepam. Br J Anaesth, 1983; 55:289.
  • 5Berg JC, Miller R, Burkhalter E. Clinical value of pulse oximetry during routine diagnostic and thetapeutic endoscopid: procedure.Endoscopy, 1991;23: 328.
  • 6Porto GB, Lazzaroni M. Preparation, premidicaation and surveillance. Endoscopy, 1992; 24:1.
  • 7Practice guidelines for sedation and analgesia by non- anesthesiologists. Areport by the American Society of Anesthesiologists Task Force on Sedation and Alalgesia by Non- Anesthesiologists. Anesthesiology, 1996;84:459~471.
  • 8Riker RR,Picard JT,Fraser GL.Prospective evaluation of the Sedation Agitation Scale for adult critically ill patients[].Critical Care Medicine.1999
  • 9Devlin JW,Boleski C,Mlynarek M,et al.Motor Activity Assessment Scale; a valid and reliable sedation for use with mechanically ventilated patient in an adult surgical intensive care unit[].Critical Care Medicine.1999
  • 10曾莉,吴新民.不同剂量咪唑安定在纤维胃镜检查中的镇静作用[J].中华麻醉学杂志,1998,18(7):395-397. 被引量:86

共引文献224

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部