丙泊酚联合芬太尼静脉复合麻醉在电子胃肠镜检查中的临床应用

目的探讨丙泊酚联合芬太尼静脉复合麻醉在电子胃肠镜检查中的可行性。方法选择80例需行电子胃肠镜检查的患者采用丙泊酚联合芬太尼用于无痛电子胃肠镜的检查，收集同期80例传统电子胃肠镜检查患者作为对照组，2组患者均于检查前、检查中、检查后连续监测血压、心率，记录药物不良反应及术中舒适度并进行比较。结果2组比较，检查中与检查后的血压、心率变化差异有统计学意义传统内镜检查组检查中血压与心率为（175±11）／（138±9）mmHg，（115±10）次／min；检查后：（163±12）／（119±10）mmHg，（102±10）次／min，无痛内镜检查组检查中血压与心率为（123±8）／（94±11）mmHg，（82±13）次／min；检查后（124±10）／（94±10）mmHg，（82±10）次／min（P〈0．01）]。结论丙泊酚联合芬太尼用于无痛电子胃肠镜的检查安全有效，值得推广。

Clinical application of propofol and fentanyl in electronic gastroscopy and colonoscopy examinations

Objective To evaluate the applicability of propofol and fentanyl in electronic gastroscopy and cnlonoscopy examinations. Methods Eighty patients receiving routine endoscopy were enrolled as control group. Other 80 patients administered with propefol and fentanyl were painless group. Blood pressure (BP), heart rate (HR),pulse oxygen saturation(SpO2),adverse effect and sick symptoms were continuously monitored and recorded before, during and after operation. Results BP, HR and SpO2 before, during and after operation were significantly different between the two groups(P < 0.01). Conclusion Application of propafol and fentanyl in the process of e-lectronic gastroscopy and colonoscopy is effective and safe.