瑞芬太尼在老年高血压患者清醒状态无痛肠镜检查中的应用.PDFVIP

瑞芬太尼在老年高血压患者清醒状态无痛肠镜检查中的应用 张庆明，杨静(大同市第七人民医院麻醉科，山西 大同 037005) 摘要：目的 探讨小剂量瑞芬太尼复合丙泊酚麻醉用于老年高血压患者清醒状态下无痛肠镜检查的安全性、可控性、可 行性。方法 回顾性分析 60 例 Ⅰ~Ⅲ级老年高血压低、中危患者，ASA Ⅱ~Ⅲ级，分为瑞芬太尼复合丙泊酚无痛肠镜组( Ⅰ 组，n=30) ，芬太尼复合丙泊酚无痛肠镜组( Ⅱ组，n=30) ，统计患者检查前、检查中、检查后各时点监测指标，评估清醒 程度、调查患者不适反应及满意率。结果 Ⅰ、Ⅱ组检查中各时点及监测值对比无显著性差异(P0.05)；各组内检查前与 检查中对比，SBP、DBP 、HR 、RR 均有显著性差异(P0.05)；各组检查后各项监测指标均接近检查前水平，无显著性差 异(P0.05)；检查后清醒、计算及提问对答、离室观察时间， Ⅰ组较 Ⅱ组明显缩短，有显著性差异(P0.05)；两组患者不 适反应无显著性差异(P0.05) ，满意率均为 100%。结论 小剂量瑞芬太尼复合丙泊酚麻醉在老年高血压患者中施行无痛 肠镜检查，检查中患者处于清醒状态、循环稳定、安全可行。 关键词：瑞芬太尼；老年高血压；清醒；无痛肠镜 中图分类号：R969.4 文献标志码：A 文章编号：1007-7693(2010)02-0177-04 Clinical Observation of Remifentanil Anesthesia in Sober Painless Colonal Endoscope for Elder Suffered Hypertension Disease ZHANG Qingming, YANG Jing(Departement of Anaesthesia Datong People’s Hospital No.7, Datong 037005, China) ABSTRACT: OBJECTIVE To evaluate the clinical security, controllability and feasibility of remifentanil anesthesia combining propofol in painless colonal endoscope for elder suffered hypertension. METHODS Sixty elder accepted painless 作者简介：张庆明，男，副主任医师 Tel:E-mail: ljg810@163.com 中国现代应用药学 2010 年 2 月第 27 卷第 2 期 Chin JMAP, 2010 February, Vol.27 No.2 ·177 · colonal endoscope(hypertension graded I-III, low risk to moderate risk, ASA graded II-III) were retrospectively randomized into two groups: remifentanil anesthesia combining propofol group(group I, n=30) and fentanil anesthesia combining propofol group(group II, n=30). The inspective dates of different timing points were calculated, patients consciousness degree and satisfaction was evaluated. RESULTS The inspective dates of both groups in each timing point have no significant difference(P0.05), SBP, DBP, HR and RR before examination showed significant difference compared with the date during the examination in each group(P0.05), dates a