异丙酚在门诊胃镜检查中的应用

目的:了解异丙酚静脉麻醉在门诊胃镜检查中的效果及安全性.方法:门诊胃镜检查患者100例 ,随机分为麻醉组和对照组(n=50),麻醉组静注异丙酚注射液;对照组予咽喉部表面麻醉.对照观察两组患者在检查中的反应、患者接受程度、术后咽喉痛的发生率和检查前、中、后的生命体征,以及患者麻醉后的清醒时间、定向力恢复时间、自行行走时间. 结果:与对照组比较,麻醉组患者检查中的不良反应少(P＜0.01),术后咽痛的发生率低(P＜0.05),患者的接受率高(98%).麻醉组检查中、检查后SBP、DBP、HR、RR、SpO2 与检查前相比差异无显著性(P＞0.05).对照组检查中SBP、DBP、HR,RR 较检查前相比明显升高(p＜0.01), 且与麻醉组检查中相比差异有显著性(P＜0.01).麻醉组所有患者均入睡,无术中知晓.术后约6min 清醒.15min 内完全恢复正常. 结论:异丙酚静脉麻醉用于门诊胃镜检查具有安全、有效,且清醒快、恢复快、患者满意度高的特点,值得临床推广使用.

The Application of Propofol Intravenous Anesthesia used in the Gastroscopy

Objective:To study the effect and safety of intravenous anesthesia with propofol during in gastroscopy out-patient clinic.Methods:100 patient were randomly divided into two groups : the patients in group A were given propofol by intravenous injection;the patients in group C were given surface anesthesia.Observe the reaction and adverse reaction during the operation and postoperation.Results:It is fewer of the incidence rate of adverse reaction(p<0.01)and anginal rate(p<0.05) in group A,it is highly of the accepted by the patient(98%).The breath and circulation in group A is more steadily than group B during the operation.Conclusions: It is safety and utility with intravenous anesthesia with propofol during in gastroscopy out-patient clinic.It is fast of the clear-headed for the patients.The patients and doctors'satisfactory are highly increased.