依托咪酯联合瑞芬太尼在老年患者无痛胃镜检查中的应用 |
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引用本文: | 王尚,郑秀英. 依托咪酯联合瑞芬太尼在老年患者无痛胃镜检查中的应用[J]. 中国医药, 2008, 4(1): 524-526. DOI: 10.3760/cma.j.issn.1673-4777.2009.07.020 |
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作者姓名: | 王尚 郑秀英 |
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作者单位: | 山东省潍坊市人民医院麻醉科,261041; |
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摘 要: | Objective To investigate the efficacy of etomidate combined with remifentanil during total intra-venous anesthesia in painless gastroscopy. Methods Ninety ASA grade Ⅰ~Ⅱ patients undergoing gastroscopy with general anesthesia were enrolled. These patients were randomly divided into 3 groups with 30 patients in each group: control group (group A), remifentanil with propofol group (group B) and remifentanil with etomidate group (group C). The patients in group A were examined by gastroscopy without anesthesia. The HR, SpO2, Mean arterial pres-sure, respiratory rate, electrocardingram and recovery time were observed. Results The gastroscopy was applied successfully in group B and group C without any discomfort and adverse effect. Compared with group C, Hemody-namics in group A and group B was fluctuated significantly (P < 0. 05). Blood vessel irritation incidence in group B was significantly higher than that in group C (P < 0.05). Conclusion Etomidate combined with remifentanil in painless gastroscopy is a safe and effective examination method for elderly patients.
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关 键 词: | 依托咪酯 丙泊酚 瑞芬太尼 麻醉 胃镜 |
Effect of etomidate combined with remifentanil during painless gastroscopy in elderly patients |
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Abstract: | |
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Keywords: | EtomidatePropofolRemifentanilAnesthesiaGastroscopy |
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