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不同浓度地佐辛联合丙泊酚麻醉对无痛肠镜患者的临床研究
作者姓名:曹华娜  赖少娟  刘雅琴
作者单位:广州市番禺区妇幼保健院麻醉科
摘    要:目的研究分析不同浓度地佐辛加丙泊酚麻醉对行无痛肠镜治疗患者苏醒质量的影响。方法选择2019年1月—2020年1月于我院行无痛肠镜治疗的80例患者为本次研究对象,将其按照随机分组的方式分为甲组和乙组,各40例,甲组予以0.05 mg/kg地佐辛+丙泊酚麻醉,乙组予以0.1 mg/kg地佐辛+丙泊酚麻醉,观察两组丙泊酚用量、苏醒时间和术中不良反应发生情况,并对数据进行分析统计。结果乙组丙泊酚用量低于甲组,且乙组苏醒时间短于甲组,差异具有统计学意义(P<0.05),乙组术中不良反应发生率为7.50%低于甲组25.00%,差异具有统计学意义(P<0.05)。结论地佐辛联合丙泊酚在无痛肠镜治疗患者的麻醉中效果显著,但0.1 mg/kg地佐辛+丙泊酚安全性更高,可有效降低丙泊酚用量,缩短苏醒时间,并降低不良反应发生率,可满足临床麻醉需求,有较高的临床应用价值。

关 键 词:无痛肠镜  地佐辛  丙泊酚  苏醒时间  麻醉  不良反应发生率

Clinical Study of Different Concentrations of Dizosin and Propofol Anesthesia on Patients With Painless Enteroscopy
Authors:CAO Hua’na  LAI Shaojuan  LIU Yaqin
Institution:(Department of Anesthesiology,Panyu District MCH Hospital,Guangzhou Guangdong 511400,China)
Abstract:Objective To study and analyze the effect of different concentrations of dizosin and propofol anesthesia on the quality of recovery of patients undergoing painless enteroscopy.Methods 80 patients who were treated with painless enteroscopy in our hospital from January 2019 to January 2020 were randomly divided into two groups:group A and group B,40 cases in each group.Group A was anesthetized with 0.05 mg/kg dizosin+propofol,group B was anesthetized with 0.1 mg/kg dizosin+propofol and analyze the data.Results The dosage of propofol in group B was significantly lower than that in group A,and the recovery time in group B was significantly shorter than that in group A,the difference was statistically significant(P<0.05).The incidence of adverse reactions in group B was 7.50%lower than that in group A,25.00%,and the difference was statistically significant(P<0.05).Conclusion Dizosin combined with propofol is effective in the anesthesia of patients with painless enteroscopy,but 0.1 mg/kg of dizosin+propofol is more safe,can effectively reduce the dosage of propofol,shorten the recovery time,and reduce the incidence of adverse reactions,can meet the needs of clinical anesthesia,has higher clinical application value.
Keywords:painless enteroscopy  dizosin  propofol  recovery time  anesthesia  incidence of adverse reactions
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