丙泊酚复合小剂量芬太尼麻醉在胃镜检查中的应用效果分析

目的 观察并分析丙泊酚复合芬太尼麻醉在无痛胃镜检查中的应用价值。方法 取行胃镜检查ASA 1~2级的患者120例,分为3组：A组普通检查组;B组丙泊酚组;C组丙泊酚芬太尼组,分别检测所有患者术中MAP、HR、SpO2、检查时间、清醒时间、丙泊酚用量、检查成功率、自我感受和满意度等各项指标。结果 检查后MAP A组升高,B组降低;不良反应C组最少;自我感受不适及轻度不适者A组最高;检查时间A组用时最长,C组最短;满意的病例数C组最高,术后清醒时间C组最短。结论 丙泊酚单纯静注和丙泊酚复合芬太尼用于胃镜检查均能提供满意的麻醉效果,但丙泊酚复合芬太尼效果更好,是更为理想的麻醉方法。

The application effect analysis of propofol combined with small dose of fentanyl anesthesia in gastroscopy

Objective To observe and analyze the value of anesthesia with propofol and fentanyl in painless gastroscopy Methods A total of 120 patients confirmed ASA 1～2 level through endoscopy were divided into three groups, the or- dinary examintation group （group A）,propofol group（group B）, propofol fentanyl group （group C）. All of the intraoper- ative patients were examined with indicators,MAP,HR,SPO2, testing time, awake time, dosage of propofol, the suc- cess check rate, feelings and self-satisfaction. Results The MAP of group A increased, group B reduced, the least untoward effect was group C; Group A was the highest unwell and mild discomfort of self percetion;Group C was the shortest teasing time,the highest number of satisfild,the least awake time after postoperative. Conclusion Intravenous injection of propofol alone and propofol combined with fentanyl in gastroscopy can provide satisfactory anesthesia ef- fect, and propofol combined with fentanyl can provide the better effect,it is the more ideal anesthesia method.