丙泊酚静脉麻醉在食管异物取出术中的应用评价

丙泊酚静脉麻醉在食管异物取出术中的应用评价 【摘要】 目的 评价丙泊酚静脉麻醉在食管异物取出术中应用的安全性和有效性。方法 对24例丙泊酚静脉麻醉下食管异物取出术进行回顾性分析，以同期普通胃镜下进行的患者30例为对照。结果 麻醉组24例食管异物全部取出，未发生严重并发症。对照组6例未能顺利取出，其中5例因患者配合欠佳，麻醉后顺利将异物取出。麻醉组治疗中SBP、HR、R较对照组有所下降，SpO2有所升高，差异有统计学意义（P<0.05）。麻醉组治疗后SBP、HR、R、SpO2与对照组比较差异无统计学意义（P>0.05）。结论 丙泊酚静脉麻醉在食管异物取出术中的应用安全性好，成功率高，值得进一步推广使用。【关键词】食管异物；丙泊酚；无痛胃镜

Assessment of propofol intravenous anesthesia in clinical application of gastroscopic removal of foreign bodies in esophagus

Assessment of propofol intravenous anesthesia in clinical application of gastroscopic removal of foreign bodies in esophagus Abstract: Objective To evaluate the safety and effectiveness of propofol intravenous anesthesia in clinical application of gastroscopic removal of foreign bodies in esophagus. Methods Twenty-four patients using propofol intravenous anesthesia during gastroscopic removal of foreign bodies in esophagus were analyzed retrospectively and thirty similar patients using normal methods were considered as controls. Results Foreign bodies in esophagus in all patients using propofol intravenous anesthesia were successfully removed without any serious effects. Six patients could not carry out in control group and foreign bodies in esophagus in five of them returning to use propofol intravenous anesthesia were successfully removed. SBP, HR and R of patients using propofol intravenous anesthesia were significantly decreased and SpO2 were higher than those of control patients during treatment（P<0.05）. No significantly difference was found in SBP, HR, R and SpO2 of two groups after treatment（P>0.05）. Conclusion Propofol intravenous anesthesia in application of gastroscopic removal of foreign bodies in esophagus is a good method with safeness and high success rate which is worth extending to further clinical use. Key words: Oesophageal foreign body ；Propofol；Painless gastroscopy