摘要
目的观察地佐辛复合丙泊酚在内镜下肠息肉切除术中的临床效果。方法将行内镜下肠息肉切除术的80例门诊患者随机分为地佐辛组和芬太尼组各40例,麻醉诱导时分别静脉注射地佐辛和芬太尼。对比观察两组患者不同时间点MAP、HR及SpO2、丙泊酚用量、手术时间、苏醒时间、恢复室停留时间、不良反应发生率。结果地佐辛组患者麻醉诱导意识消失时SpO2较高,恢复室停留时间较长,不良反应发生率明显低于芬太尼组(均P <0. 05)。结论地佐辛联合丙泊酚相对于芬太尼联合丙泊酚的镇痛效果满意、副作用小,可以安全有效地应用于内镜下肠息肉切除术患者。
Objective To observe the clinical effect of dezocine combined with propofol on endoscopic intestinal polypectomy.Methods A total of 80 outpatients undergoing endoscopic intestinal polypectomy were randomly divided into dezocine group and fentanyl group,with 40 cases in each group.The dezocine group and fentanyl group were intravenously administered dezocine and fentanyl during anesthesia induction respectively.The MAP,HR,SpO2,dosage of propofol,operation duration,recovery duration,duration of recovery room stay and incident rate of adverse reactions were compared between the two groups at different time points.Results SpO2 in a state of anesthesia-induced unconsciousness was higher,duration of recovery room stay was longer,and the incident rate of adverse reactions was significantly lower in the dezocine group compared to the fentanyl group(all P<0.05).Conclusion Compare with fentanyl combined with propofol,dezocine combined with propofol can obtain a satisfactory analgesic effect with less side effects,and can be safely and effectively applied to the patients undergoing endoscopic intestinal polypectomy.
作者
钟日胜
冉雪莲
马赫
ZHONG Risheng;RAN Xuelian;MA He(Department of Anesthesiology, the Second Nanning People′s Hospital, Nanning, Guangxi 530031, China)
出处
《微创医学》
2019年第1期35-37,共3页
Journal of Minimally Invasive Medicine
关键词
无痛肠镜
肠息肉
地佐辛
芬太尼
丙泊酚
Painless colonoscopy
Intestinal polyps
Dezocine
Fentanyl
Propofol
