小剂量丙泊酚芬太尼混合液用于无痛胃镜检查麻醉效果观察 刘春华.docVIP

精品论文 参考文献 小剂量丙泊酚芬太尼混合液用于无痛胃镜检查麻醉效果观察 刘春华 刘春华 　　（安宁市中医院院麻醉科 云南 昆明 650300） 　　【摘要】 目的：探讨小剂量丙泊酚芬太尼混合液用于无痛胃镜检查的麻醉效果观察。方法：选择180例行无痛胃镜检查的患者，病人入室前10分钟口服盐酸达克罗宁胶浆，丙泊酚和芬太尼（丙泊酚200mg+芬太尼0.1mg共计22ml）混合液，剂量控制标准0.14ml/kg（相当于1.27mg/kg的丙泊酚和0.00064mg/kg芬太尼），缓慢静脉推注。结果：胃镜检查操作时间为3～5min，所有患者均能完成胃镜检查。麻醉效果评价：表现优169例（94%），良例8（4%），差3(2%)；检查结束，165例（92%）的病人呼之能睁眼，能配合吐出咬口，做吞咽动作，协助下可以从左侧卧位翻身为平卧位。所有病人均在10分钟内可以和医师正常交流，30分钟后可以离院。病人满意度评价：满意171（95%）例，基本满意9（5%），无不满意病人。结论：小剂量的丙泊酚芬太尼混合液用于无痛胃镜检查麻醉是一种值得推广的麻醉方法。 　　【关键词】无痛胃镜检查；盐酸达克罗宁胶浆;丙泊酚与芬太尼混合液 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2016）12-0174-02 　　 　　Observation the effect of anesthetization in Painless gastroscopy by using low dosage Propofol fentanyl mixture 　　【Abstract】 The aim of the passage is to observe the effect of anesthetization in Painless gastroscopy by using low dosage Propofol fentanyl mixture . Methods of research : the passage is　based on 180 patients of painless gastrosopy, by taking Hydrochloric acid tak Luo Ningjiao pulp 10 minutes before the inspection. Intravenous injection with mixture liquor of Propofol (200mg) and fentanyl (0.1mg) which under the control of the standard of 0.14ml/kg . The Result Shows that the operation of gastroscopy of all the patients can be finished within 3 to 5 minutes. The effect evaluation of anesthetization: 169 excellent cases , 8good cases, 3failed cases. After the inspection, 165 cases of patients have consciousness to open their eyes when they are talked to, they can pours out bite and swallow, with help of the doctor, the patient can turn from the left lateral position to the supine position. All patients can communicate with doctors in 10 minutes and can be out of the hospital after 30 minutes. Patient satisfaction evaluation: perfect 171 (95%) cases, satisfied with 9 cases(5%), no dissatisfied patients.Conclusion Low dosage of propofol fentanyl mixture used in painless gastroscopy anesthesia is a kind of successful anesthesia method that can be wel