摘要
目的探讨单纯小剂量舒芬太尼在无痛超声胃镜检查中的应用效果。方法选取2018年3月~2019年3月我院收治的60例接受无痛超声胃镜检查的患者作为研究对象,按照随机数字表法将其分为对照组和观察组,每组各30例。对照组患者使用常规剂量丙泊酚麻醉,观察组患者使用单纯小剂量舒芬太尼麻醉。比较两组患者麻醉前后收缩压、心率、血氧饱和度的变化情况,并比较两组患者的麻醉不良反应发生情况。结果对照组患者麻醉前的收缩压为(132.3±6.3)mmHg,心率为(67.2±5.4)次/min,血氧饱和度为(98.8±1.2)%,麻醉后分别为(98.5±7.2)mmHg、(57.5±1.3)次/min、(95.1±1.1)%。观察组患者麻醉前的收缩压为(132.5±6.1)mmHg,心率为(67.5±5.2)次/min,血氧饱和度为(98.7±1.3)%,麻醉后分别为(121.7±8.4)mmHg、(65.7±6.3)次/min、(98.5±1.5)%。麻醉前,两组患者的收缩压、心率、血氧饱和度比较,差异均无统计学意义(P>0.05);麻醉后,两组患者的收缩压、心率、血氧饱和度均低于本组麻醉前,且观察组患者的上述各指标均高于对照组,差异有统计学意义(P<0.05)。观察组患者的麻醉不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论在临床中,针对无痛超声胃镜检查的患者,使用单纯小剂量舒芬太尼麻醉的效果良好,可改善患者的各项生命体征指标,减少不良反应的发生,值得在临床麻醉领域中推广及使用。
Objective To investigate the effect of simple low dose Sufentanil on painless ultrasound gastroscopy.Methods A total of 60 patients with painless gastroscopy from March 2018 to March 2019 in our hospital were selected as the subjects.They were divided into control group and observation group according to the random number table method,with 30 cases in each group.The control group was anesthetized with routine dose Propofol,and the observation group was anesthetized with simple small dose Sufentanil.The changes of systolic blood pressure,heart rate and blood oxygen saturation before and after anesthesia were compared between the two groups,and the incidence of adverse reactions to anaesthesia was compared between the two groups.Results The systolic blood pressure (SBP) before anesthesia in the observation group was (132.3±6.3) mmHg.The heart rate was (67.2±5.4) times/min and the oxygen saturation was (98.8±1.2)%.After anesthesia,they were (98.5±7.2) mmHg,(57.5±1.3) times/min and (95.1±1.1)% respectively.In the control group,the systolic blood pressure (SBP) before anesthesia was (132.5±6.1) mmHg,the heart rate was (67.5±5.2) times/min and the saturation of blood oxygen was (98.7±1.3)%.After anesthesia,they were (121.7±8.4) mmHg,(65.7±6.3) times/min and (98.5 ±1.5)% respectively.Before anesthesia,there was no significant difference in systolic blood pressure,heart rate and blood oxygen saturation between the two groups (P>0.05).After anesthesia,the systolic pressure,heart rate and saturation of blood oxygen in the two groups were lower than those before anesthesia in the two groups,and the above indexes in the observation group were higher than those in the control group (P<0.05).The total incidence of adverse drug reactions in the observation group was lower than that in the control group,the difference was statistically significant (P<0.05).Conclusion In clinical practice,simple small agent is used for painless ultrasound gastroscopy.The effect of simple low-dose Sufentanil anesthesia is good,can impr
作者
巫浩彬
杨春艳
陈伟元
WU Hao-bin;YANG Chun-yan;CHEN Wei-yuan(Department of Anesthesia,Meizhou People′s Hospital,Guangdong Province,Meizhou 514021,China)
出处
《中国当代医药》
2019年第20期141-143,共3页
China Modern Medicine
关键词
单纯小剂量舒芬太尼
无痛超声胃镜
检查
效果
Simple low-dose Sufentanil
Painless ultrasound gastroscopy
Examination
Effect
