胃镜检查时丙泊酚对肥胖患者的影响及应对方法（基础医学范文）.docVIP

胃镜检查时丙泊酚对肥胖患者的影响及应对方法（基础医学范文） 文档信息 属性： F-00PAAF，doc格式，正文7262字。质优实惠，欢迎下载！ 适用： 作为文章写作的参考文献，解决如何写好实用应用文、正确编写文案格式、内容摘取等相关工作。 作者： 佚名 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 搞要 1 关键字：胃镜检查； 丙泊酚； 肥胖患者； 影响及应对方法 2 2 结果 5 3 讨论 6 参考文献 8 论文原创声明（模板） 10 论文致谢（模板） 11 正文 胃镜检查时丙泊酚对肥胖患者的影响及应对方法（基础医学范文） 搞要 摘要：目的：探讨胃镜检查时丙泊酚对肥胖患者的影响及应对方法。方法：选取2017年 1-3月在本院内镜中心检查的肥胖患者80例，将其随机分为对照组和观察组，每组各40例。两组均采用静脉注射丙泊酚1～2 mg/kg，咪达唑仑 mg/kg的麻醉方法，对照组给予常规护理，观察组给予针对性护理，比较两组患者的麻醉期间各指标、不良反应、不同时点血液动力学指标变化。结果：观察组胃镜经咽时、镜检时、镜检后5 min的HR、MAP、SpO2均较对照组控制平稳，比较差异均有统计学意义（P）；观察组入睡时间、苏醒时间、正常行走时间、丙泊酚总用量均明显低于对照组，比较差异均有统计学意义（P）；观察组不良反应发生率明显低于对照组，比较差异有统计学意义（P）。结论：肥胖患者左心室容量负荷较大，采用丙泊酚麻醉时容易出现SpO2下降，引发不良反应，采用针对性护理后能有效平稳麻醉期间各项血流动力学指标，降低不良反应发生率，减少丙泊酚用量，提高苏醒质量。 关键字：胃镜检查； 丙泊酚； 肥胖患者； 影响及应对方法 【Abstract】 Objective：To investigate the effects and coping methods of Propofol on obese patients in ：80 obese patients were examined by endoscopy center in our hospital from January to March 2017 were selected，they were randomly divided into observation group and control group，40 cases in each were given intravenous anesthesia with Propofol 1-2 mg/kg and midazolam mg/kg，control group was given conventional nursing，and observation group was given targeted nursing，during anesthesia of each index，adverse reactions and different point hemodynamic index changes of two groups were ：The levels of HR，MAP and SpO2 in observation group were more stable than those of control group when the gastroscope was taken at the time of swallowing，microscopic examination and 5 min after the examination，the differences were statistically significant（P）.The sleeping time，recovery time，normal walking time and total amount of Propofol in observation group were significantly lower than those of control group，the differences were statistically significant（P）.The incidence of adverse reactions in observation group was significantly lower than that of control group，the difference was statistically significant（P）.Conclusion：The left ventricular volume load