依托咪酯与丙泊酚混合液用于无痛胃镜的麻醉效果观察

目的 探讨依托咪酯与丙泊酚混合液用于无痛胃镜的麻醉效果。方法 120例进行无痛胃镜检查的患者,随机分为对照组和观察组,各60例。对照组患者采用酒石酸布托啡诺注射液(商品名:诺扬)联合丙泊酚进行麻醉,观察组患者采用诺扬联合依托咪酯与丙泊酚混合液进行麻醉。比较两组患者麻醉诱导时间、手术时间、苏醒时间及不良反应发生情况。结果 对照组患者麻醉诱导时间、手术时间、苏醒时间与观察组比较差异无统计学意义(P>0.05)。观察组患者不良反应发生率1.67%明显低于对照组的16.67%,差异有统计学意义(P<0.05)。结论 依托咪酯与丙泊酚混合液用于无痛胃镜的麻醉效果十分理想,安全性高,临床上值得推广。

Observation on anesthetic effect of etomidate-propofol mixture on painless gastroscopy

Objective To discuss the anesthetic effect of etomidate-propofol mixture on painless gastroscopy.Methods A total of 120 cases of painless gastroscopy was randomly divided into control group and observation group,with 60 cases in each group.The control group received butorphanol tartrate injection(trade name:Noyon)combined with propofol for anesthesia,and the observation group received Noyon combined with etomidate-propofol mixture.The anesthesia induction time,operation time,wake-up time and occurrence of adverse reactions was compared between the two groups.Results There was no statistically significant difference in anesthesia induction time,operation time and wake-up time between the two groups(P>0.05).The incidence of adverse reactions 1.67% in the observation group was obviously lower than 16.67% in the control group,and the difference was statistically significant(P<0.05).Conclusion Etomidate-propofol mixture shows ideal anesthesia effect for painless gastroscopy with high safety,and it is worthy of clinical promotion.