摘要
目的探讨小剂量瑞芬太尼在门诊无痛胃镜检查中的临床应用。方法100例门诊患者随机分为两组,每组50例。瑞芬太尼组(简称R)瑞芬太尼按0.2μg/kg,即0.1 m l/kg给药;芬太尼组(简称F)芬太尼按0.5μg/kg,即0.1 m l/kg给药。分别缓慢静注芬太尼和瑞芬太尼1分钟后静脉缓注异丙酚重点观察记录:呼吸、循环、麻醉效果及定向力恢复时间、不良反应等指标。结果R组比F组在麻醉效果定向力恢复时间指标优于F组。结论小剂量瑞芬太尼能较好的满足门诊无痛胃镜的检查需要,且安全可靠,平均药品费用略低于F组。
Objective To investigate clinical application of low dose of Remifentanil in painless gastroscope. Method 100 outpatients were randomly divided into two groups, including R group （50 cases） and F group （50 cases）. R group and F group were administered with remifentanil （0.2μg/kg） and fentanil （0.5μg/kg）, respectively. The respiration, circulation, anaesthetic effect, recuperative time of orientation force and adverse effect were observed. Result Some indexes of outpatients of R group including anaesthetic effect, recuperative time of orientation force and adverse effect are better than that of outpatients of F group. Conclusion Low dose of remifentanil is effective and safe for painless gastroscope.
出处
《西部医学》
2008年第4期757-758,共2页
Medical Journal of West China
关键词
无痛胃镜
瑞芬太尼
芬太尼
胃镜
Painless Gastroscope
Renifentanil
Fentanil
Gastroscope
