瑞芬太尼联合丙泊酚在无痛胃镜检查中麻醉效果分析.docVIP

瑞芬太尼联合丙泊酚在无痛胃镜检查中麻醉效果分析 　　[摘要]目的 探讨瑞芬太尼联合丙泊酚在无痛胃镜检查中的麻醉效果和安全性。方法 选取2015年7月～2106年3月本院消化科收治的152例行无痛胃镜检查患者作为研究对象，随机分为对照组和观察组，各76例。对照组在行胃镜检查前只给予丙泊酚单纯麻醉，观察组在行胃镜检查前给予瑞芬太尼联合丙泊酚麻醉。比较两组的麻醉起效时间和苏醒时间，同时记录两组麻醉前后以及苏醒后的心率（HR）、呼吸频率（RR）、收缩压（SPB）和血氧饱和度（SpO2）变化。结果 两组的麻醉起效时间比较，差异无统计学意义（P0.05）。观察组的苏醒时间显著短于对照组，差异有统计学意义（P0.05）。观察组麻醉后的HR、RR、SBP和SpO2水平显著低于对照组麻醉后，差异有统计学意义（P0.05）。观察组的优良率为100%，显著高于对照组的82%，差异有统计学意义（P0.05）。结论 瑞芬太尼联合丙泊酚在无痛胃镜检查中的麻醉效果更优，值得临床推广应用。 　　[关键词]瑞芬太尼；丙泊酚 ；无痛胃镜；麻醉效果 　　[中图分类号] R614.2+4 [文献标识码] A [文章编号] 1674-4721（2016）07（b）-0123-03 　　[Abstract]Objective To explore the anesthetic effect and safety of remifentanil combined with propofol in painless gastroscopy.Methods 152 patients performed with painless gastroscopy in gastroenterology of our hospital from July 2015 to March 2106 were selected and randomly divided into the control group and the observation group，76 cases in each group.The control group was only treated with propofol，the observation group was given remifentanil combined with propofol.The onset time and recovery time was compared between the two groups，the change of heart rate （HR），respiratory rate （RR），systolic blood pressure （SBP），pulse oxygen saturation （SpO2） before and after anesthesia and awakening in the two groups was recorded.Results There was no significant difference in the onset time of anesthesia between the two groups （P0.05）.The recovery time in the observation group was shorter than that in the control group，with significant difference （P0.05）.The level of HR，RR，SBP，SpO2 after anesthesia in the observation group was lower than that after anesthesia in the control group，with significant difference （P0.05）.The excellent and good rate of the observation group was 100%，which was higher than 82% of the control group，with significant difference （P0.05）.Conclusion The anesthetic effect of remifentanil combined with propofol in painless gastroscopy is better，it is worthy of clinical promotion and application. 　　[Key words]Remifentanil；Propofol；Painl