达克罗宁黏膜表面麻醉用于内镜下结肠息肉切除术效果观察

发布时间：2018-04-03 20:25

  本文选题：结肠息肉　切入点：达克罗宁　出处：《山东医药》2016年24期

【摘要】：目的探讨达克罗宁黏膜表面麻醉在内镜下结肠息肉切除术中的麻醉效果及安全性。方法选择拟行内镜下结肠息肉切除术患者128例,随机分为观察组66例、对照组62例。观察组在达克罗宁胶浆黏膜表面麻醉基础上完成内镜下结肠息肉切除术,对照组术中不用达克罗宁胶浆。比较两组术中结肠蠕动情况、手术时间、追加丙泊酚剂量和安全性指标。结果观察组术中肠蠕动分级Ⅰ~Ⅲ级分别为54、9、3例,对照组分别为22、16、24例,两组比较P0.01;观察组及对照组手术时间分别为(2.42±1.09)、(4.66±2.08)min,两组比较P均0.01;观察组及对照组丙泊酚追加剂量分别为(35.4±10.6)、(38.2±11.3)mg,两组比较P0.05。观察组及对照组术后苏醒时间分别为(7.5±2.2)、(8.6±3.4)min,术后24 h出现腹痛分别为7、6例,两组比较P均0.05。两组均未出现穿孔、感染等并发症。结论达克罗宁黏膜表面麻醉用于内镜下结肠息肉切除术能明显减少术中结肠蠕动,有利于手术操作。
[Abstract]:Objective to investigate the anesthetic effect and safety of dacronin mucosal surface anesthesia in endoscopic colonic polyposectomy.Methods 128 patients with colonic polyposis were randomly divided into observation group (n = 66) and control group (n = 62).The observation group completed endoscopic colonic polyposis resection on the basis of mucosal surface anesthesia of dacronin glue, while the control group did not use the dacronin glue paste.Colonic peristalsis, operative time, dose of propofol and safety index were compared between the two groups.Results there were 3 cases of intestinal peristalsis grade 鈪，

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