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依托咪酯、芬太尼静脉复合麻醉在消化内镜诊疗中的应用
引用本文:石金鑫,周军,韩家忠,冯惠.依托咪酯、芬太尼静脉复合麻醉在消化内镜诊疗中的应用[J].哈尔滨医药,2005,25(2):5-7.
作者姓名:石金鑫  周军  韩家忠  冯惠
作者单位:224400,江苏省阜宁县人民医院
摘    要:目的研究依托咪酯、芬太尼静脉复合麻醉用于电子肠镜检查的可行性。方法选择无电子肠镜检查禁忌症的需接受肠镜检查的患者116例,其中自愿接受麻醉的58例为组,静脉推注芬太尼,用量2ug/kg,依托咪酯用量0.15mg~0.3mg/kg/次;另58例为组,接受常规肠镜检查。两组病人术中常规监测血氧饱和度、血压及心电图,并记录患者入室至检查结束不同时点的SpO2及HR值,观察苏醒时间和不良反应并进行比较。结果组58例患者顺利完成肠镜检查,患者术中几无不适感,不良反应的发生率较对照组明显降低(P<0.01),组患者反应明显,有两例未完成手术。结论依托咪酯、苏太尼静脉复合麻醉用于电子肠镜检查是一种安全有效方法。

关 键 词:静脉复合麻醉  依托咪酯  芬太尼  内镜诊疗  电子肠镜检查  消化  不良反应  血氧饱和度  方法选择  静脉推注  SpO2  苏醒时间  有效方法  患者  接受  禁忌症  心电图  不适感  对照组  发生率  苏太尼  用量  术中

Study on painless electronic-colonlscopy with etomidate and fentanyl
Shi jin xin,Zhou jun,Han jia zhong,Fen hui.Study on painless electronic-colonlscopy with etomidate and fentanyl[J].harbin medical journal,2005,25(2):5-7.
Authors:Shi jin xin  Zhou jun  Han jia zhong  Fen hui
Institution:Shi jin xin,Zhou jun,Han jia zhong,Fen hui Department of Anesthesiology,Funing Hospital,Jiagshu 224400,China
Abstract:Objective To investigate the effectiveness and safeness of colonscopy under etomida and fentangl's anesthesia.Methods.One hundred and sixteen patients were divided into two groups (1) Anesthesia group:patients to acpect anesthe induced with fentanyl and etomideat.(2)Control group:colonoscopy was undergone without anesthesia In two group of patients blood pressure.Puls rate,blood oxygen saturation were measured.Results:The procedures were successfully completed in all patient with anesthesia.The adverse reactions to the rpocedures were sighficantly reduced.Conclusion:With intravenous use of fentanyl and etomidate,colonoscopy can be performed effectively and safety.
Keywords:etomidate fentanyl vein anaesthesia electronic colonoscopy
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