咪唑安定联合芬太尼在老年患者胃镜检查的临床观察和护理 |
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引用本文: | 林丽嫚,吴建维,雷艳,汤红玲,李佩,曾庆梅,林亚梅.咪唑安定联合芬太尼在老年患者胃镜检查的临床观察和护理[J].护理实践与研究,2010,7(1):61-63. |
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作者姓名: | 林丽嫚 吴建维 雷艳 汤红玲 李佩 曾庆梅 林亚梅 |
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作者单位: | 广东省深圳市宝安人民医院内一科,518101 |
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摘 要: | 目的:探讨咪唑安定联合芬太尼在老年患者胃镜检查中的镇静、镇痛作用及总结护理经验。方法:选60例患者为麻醉组(咪唑安定和芬太尼静脉麻醉),60例为对照组(常规操作),检查前、中、后均给予针对性护理措施。对检查过程中血压、心率、血氧饱和度及检查成功率、检查反应进行观察分析。结果:术中麻醉组MBP、SpO2、HR无明显变化,对照组MBP、HR较术前明显升高(P0.05);麻醉组镇痛评分、镇静分级明显优于对照组(P0.01)。麻醉组、对照组舒适度评分分别为(9.8±0.3)分、(6.1±1.4)分,麻醉组优于对照组(P0.05),麻醉组愿意再次接受胃镜检查56例(93.33%),对照组33例(55.00%),麻醉组明显高于对照组(P0.05)。麻醉组对检查过程完全无记忆47(78.33%)例,记得插入胃镜7例(11.67%),记得拔出胃镜6例(10.00%)。结论:咪唑安定联合芬太尼用于老年患者胃镜检查中具有良好的镇静、镇痛效果,而且安全,护士全面系统施行检查前、中、后的各项护理,是保证老年患者在无痛胃镜检查中安全的重要因素。
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关 键 词: | 咪唑安定 芬太尼 老年患者 胃镜 护理 |
Observation and nursing about painless gastroscope examination by Midazolam combination Fentanyl. |
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Institution: | LIN Liman,WU Jianwei,LEI Yan,et al( Bao'an People's Hospital of Shenzhen city Guangdong province,Shenzhen 518101 ) |
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Abstract: | Objective:To investigate the sedative and analgesic effect and summary nursing experience of Midazolam combination Fentanyl in painless gastroscope examination. Methods :120 patients from attending for gas troscopy were randomly chosen and divided into anaesthesia Group (n = 60) and control Group (n = 60). Anaesthesia group was given Midazolam and Fentanyl, Control group underwent routine operation. Blood pressure, heart rate, pulse oximetry were monitored . The patients' reaction and success rate of operation were observed and analyzed. Nursing care was given during the operation. Results: MBP, SpO2, HR did not singnificantly chage during operation in anesthesia group. But MBP and HR was higher in control group (P 〈 0. 05). Compare to the control greup,analgesie and sedative effect in anesthesia group were more satisfactly (P 〈0.05). Patients showed more comfortable in anesthesia group (9.8 ±0. 3) score than that of in control group (6. 1 ± 1.4 ) score, (P 〈0.05). Anaesthesia group showed a significant higher recheck preference percentage (93.33%), but control group were opposite with the low percentage of 55.00%. 47(78.33% ) patients in anesthesia group had no memory for the course. And only 7 ( 11.67 % ) and 6 ( 10. 00% ) patients had the memory for inserting and pulling out the gastroscope respoctively. Conclusion : Beside the safty,sedative and analgesic effect of Midazolam combination Fentanyl in gastroscopy is sure and the careful nursing are the guarantees for the successful operation. |
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Keywords: | Midazolam Fentanyl The senile patients Gastroscope Nursing |
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