探讨深度镇静麻醉下行腹腔内镜检查诊断效果及安全性.docVIP

探讨深度镇静麻醉下行腹腔内镜检查诊断效果及安全性 　　【摘要】 目的 探讨深度镇静麻醉下行腹腔内镜检查的诊断效果及安全性。方法 71例行腹腔内镜检查的患者作为研究对象， 根据麻醉方式分为对照组（35例）与观察组（36例）。对照组不给予任何麻醉措施， 观察组接受深度镇静麻醉。观察对比两组患者的血压、心率、氧饱和度变化及不良反应情况。结果 检查前两组患者血压、心率比较差异均无统计学意义（P0.05）。插镜时对照组患者血压、心率均较检查前明显上升， 且高于?^察组， 差异均具有统计学意义（P0.05）。两组各时间点氧饱和度比较差异均无统计学意义（P0.05）。观察组恶心呕吐、躁动、咽部不适发生率2.8%、5.6%、2.8%均明显低于对照组45.7%、25.7%、17.1%， 差异均具有统计学意义（P0.05）。结论 深度镇静麻醉下行腹腔内镜检查的诊断效果更加准确， 且安全性高， 值得在临床实践中推广应用。 　　【关键词】 深度镇静麻醉；腹腔内镜检查；诊断效果；安全性 　　DOI：10.14163/j.cnki.11-5547/r.2017.09.057 　　Exploration on diagnostic effect and safety of laparo-endoscopic examination under deep sedation anesthesia YUE Kun. Department of Anesthesia， Jilin Guojian Obstetrics and Gynecology Hospital， Changchun 130021， China 　　【Abstract】 Objective To explore the diagnostic effect and safety of laparo-endoscopic examination under deep sedation anesthesia. Methods A total of 71 patients with laparo-endoscopic examination as study subjects were divided by anesthesia methods into control group （35 cases） and observation group （36 cases）. The control group received no anesthesia measures， and the observation group received deep sedation anesthesia. Observation and comparison were made on blood pressure， heart rate， oxygen saturation changes and adverse reactions in two groups. Results Both groups had no statistically significant difference in blood pressure and heart rate before examination （P0.05）. The control group had obvious rise in blood pressure and heart rate in inserting than before examination， and it was higher than those of the observation group. Their difference had statistical significance （P0.05）. Both groups had no statistically significant difference in oxygen saturation at different time points （P0.05）. The observation group had incidence of nausea and vomiting， restlessness， pharyngeal discomfort as 2.8%， 5.6% and 2.8%， which were obviously lower than 45.7%， 25.7% and 17.1% in the control group， and their difference had statistical significance （P0.05）. Conclusion Diagnostic effect