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| 异丙酚分别与芬太尼和咪唑安定联合用药与胃镜检查 | |
| 引用本文： | 罗咏萍,陈扬,李钰. 异丙酚分别与芬太尼和咪唑安定联合用药与胃镜检查[J]. 中国消化内镜, 2009, 3(1): 42-44 |
| 作者姓名： | 罗咏萍 陈扬 李钰 |
| 作者单位： | 宜宾市第二人民医院消化内科,644000 |
| 摘 要： | 目的讨论胃镜检查中更加舒适的一种镇静镇痛方法。方法芬太尼-异丙酚为Ⅰ组，咪唑安定一异丙酚组为Ⅱ组。观察记录各组术中的反应、胃镜操作时间、麻醉药物起效时间、苏醒时间和清醒时间，检查前中后BP、HR和SpO2的变化，并进行术后问卷调查。结果Ⅰ组药物的起效快，受检者苏醒及清醒时间短，术中不适反应少，与Ⅱ组比较有统计学意义（P〈0．01）。结论镇静无痛甘胃镜检查中芬太尼-异丙酚联合用药更舒适。 |
| 关 键 词： | 胃镜检查 静脉麻醉 芬太尼 咪唑安定 异丙酚 |
Associated Medication of Fentanyl-propofol and Midazolam-propofol and Gastroscopy |
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| LUO Yong-ping,CHEN Yang,LI Yu. Associated Medication of Fentanyl-propofol and Midazolam-propofol and Gastroscopy[J]. Digestive Disease and Endoscopy, 2009, 3(1): 42-44 | |
| Authors: | LUO Yong-ping CHEN Yang LI Yu |
| Affiliation: | (Department of Gastroenterology, The Second People,s Hospital of Yibin 644000,China) |
| Abstract: | Objective： To search for a sedative and analgesic method that is more comfortable for gastroscopic examination. Methods： Patients were randomly divided into fentanyl-propofol （ GroupⅠ ） and midazolam,propofol （ GroupⅡ ） . The reaction of patients, the effect of sedatio, the variation of BP, Sa02 and HR were observed. Questionnaires were proceeded after gastroscopy. Results： The time of patients coming into unconsciousness in group I was much shorter than group Ⅱ （ P〈0.0 1 ） .The time of patients regaining consciousness in group Ⅰ was much shorter than groupII （ P〈0.0 1 ） The probability of discomfort in group Ⅰ was lower than group Ⅱ （P〈0.01） . Conelusion：Combination of fentanyl with propofol is more comfortable for painless gastroscopy. |
| Keywords: | Gastroscopy Intravenous anesthesia Fentanyl Propofol Midazolam |
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