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依托咪酯联合丙泊酚麻醉在老年患者无痛胃肠镜检查中的应用效果观察
引用本文:张春燕.依托咪酯联合丙泊酚麻醉在老年患者无痛胃肠镜检查中的应用效果观察[J].中国肛肠病杂志,2021(1):26-28.
作者姓名:张春燕
作者单位:河南电力医院手术室麻醉科
摘    要:为观察依托咪酯、丙泊酚药物联合应用在老年患者无痛胃肠镜检查中的麻醉效果,将我院行无痛胃肠镜检查的老年患者600例分为观察组324例和对照组276例。对照组患者给予丙泊酚药物进行麻醉,观察组患者给予依托咪酯、丙泊酚药物联合麻醉,比较2组患者麻醉效果、认知功能以及不良反应发生情况。结果显示,观察组患者苏醒时间、检查时间、定向力恢复时间、麻醉诱导时间均短于对照组(P <0.05),观察组患者认知功能显著高于对照组(P <0.05),观察组患者不良反应发生率低于对照组(P <0.05)。结果表明,老年患者无痛胃肠镜检查中应用依托咪酯、丙泊酚药物联合麻醉效果显著,可提高患者术后认知功能,降低患者术后不良反应发生率。

关 键 词:老年人  无痛胃肠镜  依托咪酯  丙泊酚  麻醉

Efficacy Observation on the Anesthesia with Etomidate plus Propofol when Senior Patients Undergoing Painless Gast-enteroscopy
Authors:ZHANG Chun-yan
Institution:(Anesthesia Dept.,the Operating Room,Henan Power Hospital,Zhengzhou,Henan 450052)
Abstract:This study was to observe the anesthesia efficacy of etomidate plus propofol when senior patients undergoing painless gast-enteroscopy,divided 600 senior patients to be subject to painless gast-enteroscopy in authors’ hospital into observation group(324 cases,performing anesthesia of etomidate combined propofol on patients)and control group(276 cases,alone propofol);then,compared both groups’ anesthesia efficacy,patients’ cognition function,and unward reaction status.As results,in the time for emergence,for inspection,for orientation recovered,and for anesthesia induction;in patients’ cognition function;and in unward reaction incidence,observation group was respectively and significantly shorter,higher,and lower than cotrol group(all,P <0.05).Results show that when senior patients undergoing gast-enteroscopy,combined anesthesia of both has more efficacy than alone,and can uplift patients’ postoperative cognition function,as well reduce unward reaction incidence.
Keywords:Senior  Painless gast-enteroscope  Etomidate  Propofol  Anesthesia
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