布托啡诺复合丙泊酚在无痛胃肠镜检查中应用研究.docVIP

布托啡诺复合丙泊酚在无痛胃肠镜检查中应用研究 　　[摘要] 目的：探讨布托啡诺复合丙泊酚在无痛胃肠镜检查中的应用情况。方法：将本院2008年11月～2009年4月进行无痛胃肠镜检查的47例患者随机分为观察组24例和对照组23例，观察组采用布托啡诺复合丙泊酚，对照组采用芬太尼复合丙泊酚。结果：观察组的苏醒时间明显短于对照组，丙泊酚用量明显少于对照组，两组间差异有统计学意义（P＜0.05）。两组均未见明显不良反应。结论：布托啡诺复合丙泊酚应用于无痛胃肠镜检查中临床效果较佳，且无明显不良反应，值得临床关注。 　　[关键词] 无痛胃肠镜检查；布托啡诺；丙泊酚；芬太尼 　　[中图分类号] R614[文献标识码] B[文章编号] 1674-4721（2010）11（a）-065-02 　　 　　Butorphanol and propofol in painless gastroscopy examination of the application 　　SONG Jiming1, HUANG Shaonong1, YANG Han1, LIAO Changjian1, WANG Chen2 　　(1.Department of Anaesthesia, the Second People′s Hospital of Shenzhen City, Guangdong Province, Shenzhen 518035,China; 2.Department of Emergency, Guanlan People′s Hospital of Baoan District, Shenzhen City, Guangdong Province, Shenzhen 518110, China) 　　[Abstract] Objective: To investigate the butorphanol and propofol in painless gastroscopy examination of the application. Methods: The hospital from November 2008 to April 2009 to 47 cases of painless gastroscopy examination were randomly divided into control group, 24 cases and 23 cases in the observation group with butorphanol and propofol, control group with fentanyl and propofol. Results: The observation group was significantly shorter recovery time than the control group, the dose of propofol was significantly less than the control group, statistically significant difference between the two groups (P0.05). No significant adverse effects in both groups. Conclusion: butorphanol and propofol for painless gastroscopy examination of better clinical results, and no obvious side effects and is worthy of attention. 　　[Key words] Painless gastroscopy examination; Butorphanol; Propofol; Fentanyl 　　 　　胃肠镜检查是诊断食管、胃及十二指肠溃疡等胃肠疾病不可替代的诊疗手段。由于其准确性、可靠性高，目前尚无其他辅助检查可以替代该项检查。特别是针对病情复杂、治疗后效果不明显的患者而言，只有早检查，才能早发现、早治疗[1-2]。随着临床技术的快速发展，无痛胃肠镜应用逐渐得到认可，本研究中笔者探讨布托啡诺复合丙泊酚在无痛胃肠镜检查中的应用情况，现将相关资料总结如下： 　　1 资料与方法 　　1.1 一般资料 　　选择本院2008年11月～2009年4月进行无痛胃肠镜检查的47例患者，其中，男性27例，女性20例；年龄11～88岁，平均（38.5±2.0）岁；体重29～91 kg，平均（58.2±4.3） kg；肠镜检查12例，胃镜检查35例。所有患