联合麻醉镇静在无痛性结肠镜检查中的应用研究

目的 :探讨异丙酚、咪唑安定及芬太尼联合应用于结肠镜检查患者的可行性及安全性 .方法 :将2 0 0例结肠镜检查患者随机分为两组 :镇静组 (10 0例 )静脉注射咪唑安定、芬太尼及异丙酚至患者进入 4级镇静状态后进行结肠镜检查 .对照组 (10 0例 )按常规进行结肠镜检查 ,观察两组检查前、检查中及检查后的血压、血氧饱和度及入镜时间 .结果 :检查中镇静组血压无明显变化 ,而对照组检查中及检查后收缩压变化明显 (P <0 0 5 ) .镇静组入镜时间 6min ,明显优于对照组 10min (P <0 0 1) .结论 :异丙酚、咪唑安定及芬太尼联合应用于结肠镜检查安全、有效 ,入镜时间和检查反应优于普通检查

Study on Painless Colonoscopy under Propofol Sedation and Anesthesia

Objective: To evaluate the efficiency and safety of colonoscopy under propofol, midazolam and fantanly. Methods: 200 patients were divided into 2 groups.(1) Anesthesia group: Colonoscopy was undergone when patient was in the 4 grade anesthesia state after propofol, midazolam and nantanly were injected intravenously. (2) Control group: Colonoscopy was undergone without anesthesia. In 2 groups of patients average systolic pressure, average diastolic pressure and blood oxygen saturation were recorded and analyzed. Operation duration and reaction were recorded too. Results: During examination average artery blood pressure had no significant change in anesthesia group, but the control group had (P<0.05). Anesthesia group had less complains and shorter operation duration compared with control group. Conclusion: Colonosacopy with painless is effective, safe and superior.