摘要
目的:探讨联合应用异丙酚、咪唑安定、东莨菪碱内镜下治疗大肠息肉的镇静镇痛效果和安全性。方法:拟行内镜下大肠息肉高频电凝电切术68例,随机分为三组,即:A组(无麻醉组)、B组(异丙酚、咪唑安定组)、C组(异丙酚、咪唑安定、东莨菪碱组)各23例。观察记录各组受检者术中的反应、内镜操作时间、麻醉药物作用时间,操作过程前、中、后MAP、HR、SPO2和RR,术后问卷调查以及麻醉效果评定。结果:B、C组术中不适反应少、内镜操作时间短、受检者认为治疗过程舒适无痛苦,100%愿意接受必要的再检查。而与B组比较,C组麻醉效果更佳、操作时间更短、异丙酚用量及不适反应更少。结论:联合异丙酚、咪唑安定、东莨菪碱静脉麻醉用于内镜下治疗大肠息肉是舒适安全、有效。
Objective： To explore the effect and safety of analyesics-sedatives by propofol,midazolam and scopolarmine in treating colonic poly.Method： 68 cases underwent electrotomy with high-frequency electrocoagulation,were assigned to three groups randomly（each 23 cases） that is ： group A（without anesthesia）.Group B（propofol and midazsolam） group C（propofol,midazolam and saopolamine）.And then observed the reaction during detecting,the time of operating endoscopic and effective of anesthesia drug,Recorded the MAP,HR,SPO2 and RR before,after and during operating,Evaluating the anethesia effect by inquiry.Result： There＇s fewer side effect,shorter for operating in patients in group B and C.And most of them accepted the parhless operating.The patints in group C were superior to those in group B.Conclusion： Combining anethesia with propofol,midazolam and scopolamine is safe effective in treating endoscopic poly.
出处
《河北医学》
CAS
2007年第7期836-840,共5页
Hebei Medicine
关键词
大肠息肉
内镜
高频电凝电切术
异丙酚
咪唑安定
东莨菪碱
Colonic oply
Endoscopic
Electrotomy with high-frequenly electrocoagulation
Propofol
Midazolam
Scopolamine
