摘要
探讨丙泊酚复合小剂量芬太尼进行无痛胃镜检查的麻醉效果及对呼吸循环的影响。选择胃镜检查患者80例,随机分为二组,每组40例。I组静注丙泊酚2mg/kg^2.5mg/kg;II组静脉先注入芬太尼1μg/kg,1分钟后静注丙泊酚1.5mg/kg^2mg/kg。两组均直至患者睫毛消失即可插入胃镜。观察检查中麻醉效果、苏醒时间、HR、SBP、DBP和脉搏血氧饱和度(SPO2)的变化。两组检查完成率均为100%。两组注药后HR稍有下降,但无明显差异(P>0.05),SPO2较注药前明显下降(P<0.05),但很快恢复到97%以上;I组SBP、DBP下降比II组显著(P<0.05)。II组麻醉效果明显优于I组,两组苏醒时间相仿。丙泊酚用于门诊实施无痛胃镜安全可行,丙泊酚和芬太尼复合用药效果更佳,可减少丙泊酚用量。
To explore the propofol small doses of fentanyl are painless gastroscope inspection of anesthesia effect and the influence of circular breathing. Select at endoscopy patients were randomly divided into two 80 groups, and 40 cases. I set the propofol static note 2mg/kg^2.5mg/kg, II group to inject fentanyl 1μg/kg,a minute later static note propofol 1.5mg/ kg^2mg/kg. Both groups can be inserted disappear until the patient eyelash endoscopy. In effect, observe check narcotic waking time, HR and DBP SBP, pulse and blood oxygen saturation （SPO2）. Two groups are 100% inspection/plan. Two groups of note after HR a slight decline, but no obvious difference （P〉0.05）, a note medicine before SPO2 declined obviously （P〈0.05）, but soon returned to 97%, I set down SBP and DBP than II group （P〈0.05）. II group anesthesia is obviously superior to awaken, I time. The propofol used in outpatient service implementation is safe and feasible, painless gastroscope propofol and fentanyl composite medication better effect, can reduce the propofol dosage.
出处
《医学与哲学（B）》
2010年第10期33-34,共2页
Medicine & Philosophy(B)
关键词
丙泊酚
芬太尼
麻醉
胃镜检查
propofol, Fentanyl, anesthesia, gastroscopy
