布托啡诺复合丙泊酚在无痛胃镜检查中的应用

目的探讨布托啡诺联合丙泊酚在无痛胃镜检查中的麻醉效果。方法将90例胃镜检查患者随机分为2组，每组45例。观察组患者采用布托啡诺联合丙泊酚，对照组患者采用芬太尼联合丙泊酚。观察患者在麻醉之前、检查中以及意识清醒时的心率、血压和血氧饱和度的变化，将呼吸抑制情况和麻醉效果进行比较分析。结果2组患者用药后心率、血压和血氧饱和度均下降，P〉0．05，无统计学意义；丙泊酚总量和呼吸抑制2组比较，P〈0．05，具有统计学意义。结论布托啡诺联合丙泊酚在无痛胃镜检中麻醉的时间长、呼吸抑制低，值得临床推广。

Clinical application of butorphanol and propofol in painless gastroscopy

Objective To study the clinical anesthetic effect of butorphanol combined with propofol in painless gastroscopy. Methods 90 patientswith stomachache check were randomly divided into observation group and control group ,45 cases each. The observation group was received butorphanol combined with propofol and the control group were treated with fentanyl combined with propofol. The heart rate of pa-tients before anesthesia, during checking and conscious, the change of blood pressure and oxygen saturation, respiratory depression and anes-thetic effect were analyzed. Results The heart rate, blood pressure and oxygen saturation of two groups after treatment were decreased, the difference was not statistically significant（ P 〉 0.05 ）. The total volume of propofol and respiratory depression between the two groups were compared,the differences were statistically significant（P 〈 0.05 ）. Conclusion Butorphanol combind with propofol in painless gastroscopy with long anesthesia time and low respiratory depression, which was worthy of promotion.