摘要
目的探讨老年患者应用丙泊酚联合芬太尼静脉麻醉进行无痛苦胃镜检查的安全性。方法选取来院检查的60岁以上老人共80例,随机分为无痛观察组和常规对照组,每组各40例,无痛观察组在胃镜术前缓慢静脉推注异丙酚、芬太尼后做胃镜检查,常规对照组口服利多卡因胶浆后检查。分别观察两组患者检查中的反应及检查前、中、后收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SpO2)的变化及不良反应。结果无痛观察组收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SpO2)术中有变化,与术前、术后和对照组术中比较,差异均有统计学意义(P<0.05),但经过处理后,对顺利检查都没有影响。结论老年患者应用丙泊酚联合芬太尼静脉麻醉进行无痛苦胃镜检查是一种舒适、安全、有效的方法,但应注意加强监测。
Objective To investigate elderly patients with intravenous propofol anesthesia combined with fentanyl pain-free endoscopy security.Methods 60 check to the hospital over the age of 80 were randomly divided into study group and the conventional pain control group,40 cases,pain in the observation group preoperative endoscopy slow intravenous injection of propofol,fentanyl gastroscopy,the conventional control group was treated with lidocaine mortar after the inspection.Respectively,were observed in response to inspection and examination before,during and after the systolic blood pressure（SBP）,diastolic blood pressure（DBP）,heart rate（HR）,oxygen saturation（SpO2） changes and adverse reactions.Results pain observation group systolic blood pr essure（SBP）,diastolic blood pressure（DBP）,heart rate（HR）,oxygen saturation（SpO2） surgery has changed,and before surgery,and the control group of patients,the differences are statistically significant（P0.05）,but after treatment,had no effect on the successful inspection.Conclusion Elderly patients with intravenous propofol anesthesia combined with fentanyl pain-free endoscopy is a comfortable,safe and effective method,but should pay attention to strengthening monitoring.
出处
《当代医学》
2011年第33期126-127,共2页
Contemporary Medicine
关键词
丙泊酚
芬太尼
无痛胃镜
老年患者
Propofol
Fentanyl
Painless gastroscop
Elderly patients
