无痛胃镜检查中丙泊酚联合芬太尼的麻醉效果研究.docVIP

无痛胃镜检查中丙泊酚联合芬太尼的麻醉效果研究 　　【摘要】 目的 探讨无痛胃镜检查中丙泊酚联合芬太尼的麻醉效果。方法 200例接受电子胃镜检查患者， 通过随机数字表法分为观察组和对照组， 每组100例。观察组患者使用丙泊酚联合芬太尼麻醉后予以检查， 对照组患者口服利多卡因胶浆后予以检查。对两组患者在检测过程中所发生的不良反应进行记录比较。结果 观察组咳嗽、恶心呕吐、头晕、躁动的不良反应总发生率14.00%明显低于对照组69.00%， 两组比较差异具有统计学意义（P0.05）。结论 在无痛胃镜检查中使用丙泊酚联合芬太尼进行麻醉， 效果优异， 可减少不良反应的发生， 帮助患者舒适安全的完成检测， 值得在临床上进行应用推广。 　　【关键词】 无痛胃镜；丙泊酚；芬太尼；麻醉效果；不良反应 　　DOI：10.14163/j.cnki.11-5547/r.2016.29.014 　　Research of anesthetic effect by propofol combined with fentanyl for anesthesia in painless gastroscopy ZHANG Yan. Henan Electric Power Hospital， Zhengzhou 450000， China 　　【Abstract】 Objective To investigate anesthetic effect by propofol combined with fentanyl for anesthesia in painless gastroscopy. Methods A total of 200 patients receiving electronic gastroscopy were divided by random number table into observation group and control group， with 100 cases in each group. The observation group received propofol combined with fentanyl for anesthesia before examination， and the control group received oral administration of lidocaine mucilage instead. Adverse reactions during examination in both groups were recorded for comparison. Results The observation group had obviously lower total incidences of adverse reactions of cough， nausea and vomiting， dizziness and dysphoria as 14.00% than 69.00% in the control group. Their difference had statistical significance （P0.05）. Conclusion Implement of propofol combined with fentanyl for anesthesia in painless gastroscopy shows excellent effect. This method can reduce adverse reactions and provide confotable and safe examination， and it is worth clinical application and promotion. 　　【Key words】 Painless gastroscopy； Propofol； Fentanyl； Anesthetic effect； Adverse reactions 　　在诊断消化道疾病中， 电子胃镜检查在临床上属于主要的检查手段， 但普通的胃镜检查常会给患者造成不适感， 如发生恶心呕吐、咽喉不适、咳嗽等不良反应， 严重的还会有心律失常、消化道出血等， 并且在检查过程中所出现的此类反应会致使患者不配合甚至拒绝接受检查， 对病情的诊治造成延误[1， 2]。由于镇静麻醉药物技术的不断发展， 丙泊酚联合芬太尼的方式开始应用于无痛胃镜检查中， 有研究显示， 该方式镇静、镇痛效果好， 使患者对于检查的紧张情绪得以消除， 给患者带来的不良反应较少， 能够使患者更加顺利的完成检查[3， 4]。本次研究在需行电子