丙泊酚两种给药方法用于无痛胃镜的临床观察

目的通过两种不同的给药方法,观察丙泊酚用于无痛胃镜麻醉时对患者的影响。方法将64例胃镜受检者随机分为A组和B组,各32例。A组（分次给药组）先静脉推注麻醉药用量的1/2,30 s后补足剩余部分;B组（序贯给药组）一次性静脉推注足量麻醉药。分别记录两组用药前后的血氧饱和度、血压、心率。结果在呼吸、血压、心率的稳定性方面,A组优于B组,特别是在平稳血氧饱和度方面有明显优势。结论在取得相同麻醉效果的基础上,分次给药法能更好地减少血氧饱和度的下降,提高了安全性。

Clinical Observation of Two Different Administrations of Propofol for Painless Gastroscopy

Objective To observe the impacts of propofol anesthesia by using two different administrations on the patients with painless gastroscopy.Methods 64 subjects undergoing gastroscopy were randomly divided into the group A and B,32 cases in each group.The group A as the divided doses group was given 1/2 anesthetic dose by intravenous injection at first,then the remaining portion was complemented after 30 s.The group B as the sequential administration group was intravenously injected by full dose of anesthetic drug.The oxygen saturation,blood pressure and heart rates in the two groups were recorded before and after anesthesia.Results The group A was better than the group B in the stability of respiration,blood pressure and heart rate,especially in the stabilizing the oxygen saturation.Conclusion On the basis of achieving the same anesthetic effect,the divided doses method can better reduce the decline of the oxygen saturation and improves the safety of gastroscopy.