吸毒患者胃镜检查的丙泊酚麻醉效果观察

发布时间：2018-06-01 10:29

本文选题：丙泊酚 + 吸毒患者　；参考：《中国现代医学杂志》2017年26期

【摘要】：目的分析丙泊酚用于吸毒患者胃镜检查的现状。方法选取2011年11月-2017年6月该院消化科门诊及急诊收治的需接受胃镜检查的吸毒吞食异物患者42例,随机分为观察组(丙泊酚麻醉)和对照组(非麻醉),观察两组患者循环及呼吸系统相关各项指标,对比两组患者手术时间、出现插管失败需拔管情况,以及与手术操作、麻醉用药相关的不良反应、手术耐受情况。结果观察组患者的耐受率为90.48%,高于对照组的4.76%(P0.05)。观察组患者心率及呼吸频率在T1、T2和T3时间的波动幅度小于对照组。观察组患者胃镜手术操作时间为(5.36±2.02)min,对照组操作时间为(8.84±1.97)min,观察组患者手术时较短(P0.05);观察组患者拔管率为0.00%,低于对照组的28.57%(P0.05)。两组患者的高血压、低血压、心动过速、心动过缓、呼吸抑制发生率比较,差异无统计学意义(P0.05),观察组患者戒断反应发生率低于对照组(P0.05)。结论丙泊酚用于吸毒患者的胃镜麻醉效果较好,麻醉过程中患者自觉不适感低,耐受性佳,安全性有保障,值得临床推广应用。
[Abstract]:Objective to analyze the application of propofol in gastroscopy of drug users. Methods from November 2011 to June 2017, 42 patients who needed gastroscopy to swallow foreign bodies were selected. The patients were randomly divided into observation group (propofol anesthesia) and control group (non-anesthesia group). The indexes of circulatory and respiratory system were observed and compared between the two groups. Adverse reactions associated with anesthetic use, surgical tolerance. Results the tolerance rate of the patients in the observation group was 90.48, higher than that in the control group. The changes of heart rate and respiratory frequency in T _ 1 T _ 2 and T _ 3 were lower in the observation group than in the control group. The operative time of gastroscopy in the observation group was 5.36 卤2.02min, and that in the control group was 8.84 卤1.97min, and that in the observation group was shorter than that in the control group (P 0.05), and the extubation rate of the patients in the observation group was 0.005g, which was lower than that in the control group (28.57g / P 0.05). There was no significant difference in the incidence of hypertension, hypotension, tachycardia, bradycardia and respiratory depression between the two groups. The rate of withdrawal reaction in the observation group was lower than that in the control group (P 0.05). Conclusion propofol is effective in gastroscopic anesthesia for drug addicts. The patients have low feeling of discomfort, good tolerance and safety during anesthesia, which is worthy of clinical application.
【作者单位】：浙江省青春医院麻醉科;
【分类号】：R614

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