无痛胃肠镜麻醉临床应用体会

目的：分析无痛胃肠镜麻醉临床应用效果。方法选取本院2012年10月~2013年10月间收治的80名患者作为研究对象，随机分为观察组与对照组，每组患者各40例。对照组采用丙泊酚联合芬太尼麻醉，观察组采用丙泊酚联合氯胺酮麻醉，对两组患者的SpO2、BP、HR以及不良反应等情况进行分析对比。结果观察组所有患者均顺利完成无痛胃肠镜检查，且两组患者SpO2、BP、HR比较差异无统计学意义（P〉0.05），恶心呕吐、呼吸抑制率等不良反应发生率比较差异有统计学意义（P〈0.05）。结论在无痛胃肠镜检查过程中采用丙泊酚联合氯胺酮麻醉具有良好的临床效果，能降低不良反应发生率，值得在临床应用上推广。

Clinical application of anesthesia painless gastroscopy

Objective To analyze the clinical effect of anesthesia painless gastroscopy.Methods 80 cases of patients treated in our hospital from October 2012 to October 2013 were selected as the study objects, and were randomly divided into the observation group and control group, each group contained 40 cases. The control group were given fentanyl and propofol anesthesia treatment, and the observation group were given the propofol ketamine anesthesia, the two groups of patients with SpO2, BP, HR, and adverse reactions were analyzed compared.Results The patients were all successfully completed painless gastrointestinal endoscopy, and the two groups of patients SpO2, BP, HR difference was not statistically significant （P＆gt;0.05）, nausea, vomiting, respiratory depression rates of adverse reactions incidence comparison with significant difference （P〈0.05）.Conclusion In the process painless gastrointestinal endoscopy propofol ketamine anesthesia combined with good clinical results, can reduce the incidence of adverse reactions, should be promoted in clinical applications.