胃镜检查麻醉临床应用效果分析和研究.docVIP

胃镜检查麻醉临床应用效果分析和研究 　　【中图分类号】R473 【文献标识码】B 【文章编号】1672－3783(2012)03－0039－01 　　【摘要】目的：探讨麻醉在胃镜检查中的临床应用效果。方法：采用回顾性分析的方法，将于2008.02-2011.02入住我院消化内科的860例患者的临床资料进行回顾性分析，主要将本组患者随机性地分为麻醉组与非麻醉组，每组各为430例。麻醉组在进行胃镜检查的同时，对患者进行异丙酚与芬太尼复合麻醉，非麻醉组则在胃镜检查时不行任何麻醉方式及其他方式。运用检验，将麻醉在胃镜检查过程中的应用效果进行分析。结果：上述两组进行对比、分析，麻醉组在心率及血压方面均有所下降，有个别患者呼吸短暂停止，而非麻醉组上述指标则无明细变化；麻醉组手术成功率要明显地高于非麻醉组；两组在操作时间方面则不存在差异，P＞0.05.结论：将异丙酚与芬太尼复合麻醉运用于胃镜检查之中，能够十分有效地提高手术成功率，而且患者基本无痛苦，手术过程中较为舒适，值得在胃镜临床检查之中加以广泛应用及推广。 　　【关键词】胃镜检查；麻醉；临床应用；异丙酚；芬太尼 　　Analysis and Research on Clinical Application of Gastroscopy Anesthesia Effect 　　【Abstract 】Objective: To explore the anesthesia in gastroscopy the clinical effect of the application. Methods: the retrospective analysis method, the 2008.02-2011.02 in our hospital gastroenterology in the 860 cases of patients with clinical data were retrospectively analyzed, mainly in this group of patients were random divided into anesthesia group and non anesthesia group, each of 430 cases. Anesthesia in gastroscopy was performed at the same time, performed on patients with combined anesthesia with propofol and fentanyl anesthesia group, not in any way not anesthesia gastroscopy and other methods. Application of inspection, the anesthesia in gastroscopy in the process of application effect analysis. Results: the two groups were compared and analyzed, the anesthesia group at the heart rate and blood pressure were decreased, there are some patients with shortness of breath stop, rather than the index of anesthesia group no detail changes; anesthesia group operation success rate is obviously higher than in non-sedated groups; two group in the operation time, there is no difference, P 0.05. Conclusion: combined anesthesia with propofol and fentanyl in gastroscopy, can be very effective to improve the success rate of operation, and that patients with basically no pain, operation process is more comfortable, worth in gastroscope clinical examination of wide application and promotion. 　　【 Key words 】gast