笑气镇静下用于胃肠镜检查静脉麻醉高风险人群的效果分析

发布时间：2018-03-26 19:34

本文选题：胃肠镜检查　切入点：笑气　出处：《临床消化病杂志》2016年01期

【摘要】：[目的]探讨笑气镇静下用于胃肠镜检查静脉麻醉高风险人群中的效果与安全性。[方法]选取120例经胃肠镜检查的静脉麻醉高风险人群为研究对象,将其按照随机数字表法分为研究组与对照组,各60例。研究组采取笑气镇静下胃肠镜检查,对照组采取常规氧气吸入下胃肠镜检查。[结果]心电监护的过程中,研究组心动过速0例、低氧血症1例,对照组心动过速2例、低氧血症1例;研究组、对照组患者对医师检查操作满意度评分分别为(87.3±4.6)分、(72.6±5.7)分,自我感觉满意度评分分别为(86.1±4.8)分、(70.4±4.5)分,耐受性好分别为80.0%、50.0%,2组比较均差异有统计学意义(P0.05)。[结论]笑气镇静下用于胃肠镜检查静脉麻醉高风险人群能够有效避免常规胃肠镜检查所导致的心动过速的发生,患者耐受力好,值得临床中应用。
[Abstract]:[objective] to investigate the efficacy and safety of nitrous oxide sedation in high risk population under gastroenteroscopy. [methods] 120 patients with high risk of intravenous anesthesia were selected. The study group was divided into two groups according to the method of random digital table, 60 cases each. The study group was examined by gastroenteroscopy under the sedation of laughing gas, and the control group was examined by gastroenteroscopy under routine oxygen inhalation. [results] during the process of ECG monitoring, In the study group, there were 0 cases of tachycardia, 1 case of hypoxemia, 2 cases of tachycardia and 1 case of hypoxemia in the control group. The scores of self-feeling satisfaction were 86.1 卤4.8 and 70.4 卤4.5, respectively. There were significant differences in tolerance between the two groups (P 0.05). [conclusion] the patients with high risk of intravenous anesthesia under gastroenteroscopy can effectively avoid tachycardia caused by routine gastroenteroscopy, and the patients have good tolerance. It is worthy of clinical application.
【作者单位】：苏州市中西医结合医院;张家港市中医医院;
【分类号】：R614

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