瑞芬太尼复合丙泊酚用于胃肠镜检查的效果观察

目的研究分析瑞芬太尼复合丙泊酚用于胃肠镜检查的方法和效果。方法回顾性分析2012年5月至2012年12月期间,我院收治的68例行胃肠镜检查患者的临床资料,按照患者治疗期间所采用的用药方案不同,将68例患者随机分为两组,对照组34例使用丙泊酚复合芬太尼,观察组34例采用瑞芬太尼复合丙泊酚。比较两组患者的治疗效果、用药情况、苏醒时间、血压、心率、血氧饱和度等指标差异。结果观察组患者只有血氧饱和度明显下降,其他指标变化不明显,对照组患者的血氧饱和度变化不大,而其他指标明显升高,两组比较差异具有明显统计学意义,(P<0.05);观察组患者在用药剂量、苏醒时间、体感等方面明显优于对照组,两组比较差异具有明显统计学意义,(P<0.05)。结论在胃肠镜检查中采用瑞芬太尼复合丙泊酚治疗疗效显著、疼痛少、安全性高,值得临床推广。

The Clinical Observation of Treating Gastrointestinal Endoscopy with Remifentanil Combined Propofol

Objective To study the methods and effect of study gastrointestinal endoscopy with remifentanil combined propofol. Methods Choosed 68 patients received gastrointestinal endoscopy from May. 2012 to Dec. 2012 to divide into study group and controlled group. Controlled group were treated with propofol combined fentanyl, study group were treated with remifentanil combined propofol. Compared the effect, wake up time, blood pressure, heart rate and blood oxygen saturation of these two groups. Results The blood oxygen saturation of study group decreased significant, but controlled group change not obviously. The results of doses, wake-up time in study group were better than controlled group （P〈0.05）. Conclusion Treating gastrointestinal endoscopy with remifentanil combined propofol with remifentanil combined propofol has less pain and better safety to extend in clinic.