右美托咪定与丙泊酚对胃镜检查术患者的麻醉疗效评价

发布时间：2019-04-18 14:48

【摘要】：目的:评价右美托咪定与丙泊酚复合麻醉对胃镜检查术患者的麻醉疗效。方法:选取2014年1月—2015年1月间行胃镜检查术老年患者66例,将其随机分为A组与B组,每组33例;A组患者均给予右美托咪定与丙泊酚复合麻醉,B组患者均给予单用丙泊酚麻醉,比较两组患者用药后的麻醉疗效和生命体征各指标。结果:A组患者丙泊酚用量、检查时间明显少于B组(P0.05);两组患者麻醉后T_1、T_2、T_3时MAP(平均动脉压)值明显低于T_0时(P0.05);A组患者麻醉后T_1、T_2时HR(心率)值明显低于T_0时(P0.05),B组患者麻醉后T_2时HR值明显高于T0时(P0.05);A组患者麻醉后血压升、心动过速和呼吸抑制的发生率明显低于B组(P0.05)。结论:采用右美托咪定与丙泊酚复合麻醉对老年患者胃镜检查术的麻醉效果优于单用丙泊酚,且减少丙泊酚的用量,缩短检查时间,血压升高、心动过速和呼吸抑制的发生率较低。
[Abstract]:Objective: to evaluate the effect of combined anesthesia of right metomidine and propofol on patients undergoing gastroscopy. Methods: 66 elderly patients underwent gastroscopy from January 2014 to January 2015 were randomly divided into two groups: group A (n = 33) and group B (n = 33). All patients in group A were given combined anesthesia with right metomidate and propofol, and patients in group B were given propofol anesthesia alone. The anesthetic efficacy and vital signs were compared between the two groups. Results: the dosage of propofol in group A was significantly shorter than that in group B (P0.05), and the values of MAP (mean arterial pressure) after anesthesia in both groups were significantly lower than those in group T0 (P0.05), and the mean arterial pressure (ABP) of group A was significantly lower than that of group T0 (P0.05). After anesthesia, the value of HR (heart rate) in group A was significantly lower than that in group T0 (P0.05). After anesthesia, the value of HR in group), B was significantly higher than that in group T0 (P0.05). After anesthesia, the incidence of blood pressure, tachycardia and respiratory inhibition in group A was significantly lower than that in group B (P0.05). Conclusion: the anesthetic effect of combined anesthesia of right metomidine and propofol is better than that of propofol alone, and the dosage of propofol is reduced, the time of examination is shortened, the blood pressure is increased, and the effect of anesthesia on gastroscopy of elderly patients is better than that of propofol alone. The incidence of tachycardia and respiratory inhibition was lower.
【作者单位】：汉川市人民医院;
【分类号】：R614

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