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咪达唑仑单用和联合应用丙泊酚在胃镜检查中的效果比较
引用本文:廖日斌,苏燕波,唐建光,潘旻,刘晓敏. 咪达唑仑单用和联合应用丙泊酚在胃镜检查中的效果比较[J]. 中国临床医学, 2011, 18(3): 355-357
作者姓名:廖日斌  苏燕波  唐建光  潘旻  刘晓敏
作者单位:广西桂林市人民医院消化内科,广西桂林,541002
摘    要:目的:对比观察小剂量咪达唑仑单用和其与丙泊酚联合应用在无痛胃镜检查中的效果。方法:对行无痛胃镜检查患者200例,随机分为2组:咪达唑仑联合丙泊酚静脉注射(联用组)100例与单用咪达唑仑静脉注射(单用组)100例。记录患者的不良反应发生情况及平均动脉血压(MAP)、心率(HR)、呼吸频率(RR)、脉搏氧饱和度(SpO2)。结果:联用组流延、恶心、呕吐、躁动、咳嗽、咽部不适较单用组显著减少(P〈0.05)。胃镜检查后联用组HR、MAP、RR均显著低于单用组(P〈0.05),2组SpO2比较无显著差异(P〉0.05)。结论:在无痛胃镜检查中小剂量咪达唑仑联合丙泊酚效果优于单用咪达唑仑。联用组能消除患者的痛苦,减少不良反应发生,虽然HR、MAP、SpO2、RR有所下降,但均在安全范围,无需干预治疗,可顺利完成操作。

关 键 词:胃镜检查  咪达唑仑  丙泊酚

Comparative Study of Midazolam in Low Dosage Combined with Propofol and Midazolam in Low Dosage for Upper Gastrointestinal Endoscopy
LIAO Ribin,SHU Yanbo,TANG Jianguang,PAN Min,LIU Xiaomin. Comparative Study of Midazolam in Low Dosage Combined with Propofol and Midazolam in Low Dosage for Upper Gastrointestinal Endoscopy[J]. Chinese Journal Of Clinical Medicine, 2011, 18(3): 355-357
Authors:LIAO Ribin  SHU Yanbo  TANG Jianguang  PAN Min  LIU Xiaomin
Affiliation:LIAO Ribin SHU Yanbo TANG Jianguang PAN Min LIU Xiaomin Department of Gastroenterology,Guilin Municiplal People's Hospital in Guangxi Province,Guilin 541002,China
Abstract:Objective:To study the effect of low dose of midazolam alone and midazolam combined with propofol in the treatment of painless gastroscopy.Methods:A total of 200 patients were randomly divided into two groups,midazolam in low dosage combined with propofol intravenous(the alone group) of 100 cases with midazolam in low dosage(the combination group) of 100 cases.Adverse reactions,mean arterial pressure(MAP),heart rate(HR),respiratory rate(RR) and oxygen saturation(SpO2) were monitored.Results:Nausea,vomiting,...
Keywords:Gastroscopy  Midazolam  Propofol  
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