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丙泊酚联合小剂量芬太尼用于老年患者无痛胃镜麻醉的临床观察
引用本文:张咏梅,吴嘉宾,廖彬孝. 丙泊酚联合小剂量芬太尼用于老年患者无痛胃镜麻醉的临床观察[J]. 检验医学与临床, 2010, 7(20): 2181-2182. DOI: 10.3969/j.issn.1672-9455.2010.20.003
作者姓名:张咏梅  吴嘉宾  廖彬孝
作者单位:重庆市急救医疗中心麻醉科,400014
摘    要:目的观察在适量咽部表麻下,丙泊酚联合小剂量芬太尼在60岁以上老年患者做无痛胃镜检查麻醉的可行性及不良反应。方法将40例60岁以上患者随机分成2组,每组20例。比较首次给药剂量下镜成功例数,给药剂量以及不良反应。结果在适量咽部表麻下,丙泊酚联合小剂量芬太尼在60岁以上老年患者做无痛胃镜检查丙泊酚用量少。结论进行适量咽部表麻更安全,完全能满足临床医生的要求。

关 键 词:麻醉药联用  丙泊酚  芬太尼  无痛胃镜  老年人

Application observation on superficial anesthesia,propofol combined with low dose of fentanyl to painless gastroscopic anaesthesia in patients aged over 60
ZHANG Yong-mei,WU Jia-bin,LIAO Bin-xiao. Application observation on superficial anesthesia,propofol combined with low dose of fentanyl to painless gastroscopic anaesthesia in patients aged over 60[J]. Laboratory Medicine and Clinic, 2010, 7(20): 2181-2182. DOI: 10.3969/j.issn.1672-9455.2010.20.003
Authors:ZHANG Yong-mei  WU Jia-bin  LIAO Bin-xiao
Affiliation:.(Department of Anesthesiology,Chongqing Emergency Medical Center,Chongqing400014,China )
Abstract:Objective To investigate the feasibility and adverse reactions of proper pharyngeal superficial anesthesia,propofol combined with small dose of fentanyl for performing painless gastroscopic anesthesia in elderly patients aged over 60.Methods 40 patients aged over 60 were divided into two groups,20cases in each group.The success cases number of gastroscopy under the first dose of medication,dosage and adverse reactions were compared.Results Painless gastroscopy was performed under proper pharyngeal superficial anesthesia by propofol combined with small doseof fentanyl in the elderly aged over 60,in which the used dosage of propofol was small.Conclusion Appropriate pharyngeal anesthesia for performing painless gastroscopy is more secure,which is able to fully meet the requirements of clinicians.
Keywords:anesthetics  combined  disoprofol  fentanyl  painless gastroscope  aged
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