小剂量芬太尼联合丙泊酚静脉麻醉在胃镜检查中的应用

发布时间：2019-07-10 18:57

【摘要】：目的分析小剂量芬太尼联合丙泊酚静脉麻醉在胃镜检查中的应用价值。方法选择2012年12月-2013年12月接受胃镜检查的患者作为研究对象,随机分为小剂量芬太尼联合丙泊酚麻醉的观察组患者以及咪达唑仑联合丙泊酚麻醉的对照组患者,检测其麻醉后入睡时间、苏醒时间、丙泊酚总用量、不良反应及应激反应等情况。结果观察组患者麻醉后的入睡时间、苏醒时间明显短于对照组患者,且丙泊酚总用量明显少于对照组患者(P0.05)。观察组患者麻醉后的总不良反应发生率明显低于对照组患者(P0.05)。观察组患者麻醉后的各项炎症因子水平及应激指标水平均显著低于对照组患者(P0.05)。结论小剂量芬太尼联合丙泊酚静脉麻醉可以有效缩短胃镜检查患者的诱导及苏醒时间,减少麻醉药物用量,且可减少检查中不良反应发生,有效减轻炎症应激反应。
[Abstract]:Objective to analyze the value of low dose fentanyl combined with propofol intravenous anesthesia in gastroscopy. Methods from December 2012 to December 2013, the patients undergoing gastroscopy were randomly divided into two groups: the observation group with low dose fentanyl combined with propofol anesthesia and the control group with midazolam combined with propofol anesthesis. the sleep time after anesthesia, recovery time, total dosage of propofol, adverse reactions and stress reactions were measured. Results the sleep time and recovery time of the patients in the observation group were significantly shorter than those in the control group, and the total dosage of propofol was significantly less than that in the control group (P 0.05). The incidence of total adverse reactions in the observation group was significantly lower than that in the control group (P 0.05). The levels of inflammatory factors and stress indexes in the observation group were significantly lower than those in the control group (P 0.05). Conclusion low dose fentanyl combined with propofol intravenous anesthesia can effectively shorten the induction and recovery time of patients examined by gastroscopy, reduce the dosage of anesthetics, reduce the occurrence of adverse reactions in the examination, and effectively reduce the inflammatory stress reaction.
【作者单位】：浙江省宁波市第一医院麻醉科;
【分类号】：R614.2

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