小剂量芬太尼用于无痛胃镜检查的临床研究

目的：探讨小剂量芬太尼在无痛胃镜检查中的临床麻醉效果。方法：对我门诊进行无痛胃镜检查的80例患者资料进行分析，将患者按照治疗时间分为实验组和对照组。对照组采用丙泊酚麻醉，实验组在对照组基础上联合小剂量芬太尼，比较2组麻醉效果。结果：实验组镇痛起效时间为0．4±1．6分，低于对照组（P＜0．05）；实验组VAS评分在5分钟时为7．2±2．1、90分钟时为2．2±1．5和对照组相比差异显著（P＜0．05）；实验组4例痛苦反应，患者手术时间为4．25±1．28分钟，患者手术后5．58±1．73分钟清醒，对我院检查均比较满意高于对照组。结论：在无痛胃镜检查中采用小剂量芬太尼麻醉效果较好，值得推广使用。

Small dose of fentanyl used in painless gastroscopy of clinical research

Objective：To study the small dose of fentanyl in the effectiveness of clinical anesthesia in painless gastroscopy .Methods：to my clinic data of 80 patients of painless gastroscopy were analyzed , and the patients in accordance with the treatment time could be divided into the experimental group and control group .Control group using propofol anesthesia , the experimental group on the basis of the control in combination with small dose of fentanyl , comparing two groups of narcotic effect .Results：The analgesic effect of time was （0.4 ±1.6） lower than the control group （P 〈0.05）;Experimental VAS score in 5 min for （7.2 ±2.1）, and 90 min for （2.2-1.5） and the con-trol group when compared with significant difference （P〈0.05）;Experimental group 4 patients with pain response , surgery time was （4.25 ±1.28 min）, （5.58 ±1.73 min） after surgery in patients with conscious , satisfied with our inspection were relatively higher than the control group .Conclusion：in painless gastroscopy using small dose fentanyl anesthesia effect is good , should be worth pro-moting.