中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2009年
14期
8-9
,共2页
芬太尼%静脉麻醉%内镜逆行胰胆管造影术%胰腺炎%危险因素
芬太尼%靜脈痳醉%內鏡逆行胰膽管造影術%胰腺炎%危險因素
분태니%정맥마취%내경역행이담관조영술%이선염%위험인소
Fentanyl%Intraoperative intravenous analgesia%Endoscopic retrograde cbolangiopancreatography%Pancreatitis%Risk
目的 探讨复合芬太尼静脉麻醉对内镜逆行胰胆管造影术(ERCP)后胰腺炎的影响.方法 将2003年8月至2009年3月重庆市第三人民医院366例接受ERCP的患者随机分为两组:复合芬太尼静脉麻醉组(183例)和对照组(183例).静脉麻醉组在ERCP操作过程中予咪达唑仑、丙泊酚和芬太尼进行复合静脉麻醉,对照组未予静脉麻醉.结果 复合芬太尼静脉麻醉组ERCP后胰腺炎发生率为16.9%,对照组ERCP后胰腺炎发生率为9.3%,P<0.05,有统计学差异;复合芬太尼静脉麻醉组重症胰腺炎发生平1.6%,对照组重症胰腺炎发生率0.5%,P>0.05,无统计学差异.结论 复合芬太尼静脉麻醉可能通过多种途径增加发生ERCP后胰腺炎的危险.
目的 探討複閤芬太尼靜脈痳醉對內鏡逆行胰膽管造影術(ERCP)後胰腺炎的影響.方法 將2003年8月至2009年3月重慶市第三人民醫院366例接受ERCP的患者隨機分為兩組:複閤芬太尼靜脈痳醉組(183例)和對照組(183例).靜脈痳醉組在ERCP操作過程中予咪達唑崙、丙泊酚和芬太尼進行複閤靜脈痳醉,對照組未予靜脈痳醉.結果 複閤芬太尼靜脈痳醉組ERCP後胰腺炎髮生率為16.9%,對照組ERCP後胰腺炎髮生率為9.3%,P<0.05,有統計學差異;複閤芬太尼靜脈痳醉組重癥胰腺炎髮生平1.6%,對照組重癥胰腺炎髮生率0.5%,P>0.05,無統計學差異.結論 複閤芬太尼靜脈痳醉可能通過多種途徑增加髮生ERCP後胰腺炎的危險.
목적 탐토복합분태니정맥마취대내경역행이담관조영술(ERCP)후이선염적영향.방법 장2003년8월지2009년3월중경시제삼인민의원366례접수ERCP적환자수궤분위량조:복합분태니정맥마취조(183례)화대조조(183례).정맥마취조재ERCP조작과정중여미체서륜、병박분화분태니진행복합정맥마취,대조조미여정맥마취.결과 복합분태니정맥마취조ERCP후이선염발생솔위16.9%,대조조ERCP후이선염발생솔위9.3%,P<0.05,유통계학차이;복합분태니정맥마취조중증이선염발생평1.6%,대조조중증이선염발생솔0.5%,P>0.05,무통계학차이.결론 복합분태니정맥마취가능통과다충도경증가발생ERCP후이선염적위험.
Objective To analyze the effect of intraoperative intravenous analgesia combined fentanyl on post-endoscopic retrograde cholangiopa-ncreatography pancreatitis (PEP). Methods 366 patients who received endoscopic retrograde cholangiopancreatography (ERCP) from August 2003 to March 2009 were divided into two groups (the trial group and the control group).The trial group included 183 patients undergoing intraoperative intravenous analgesia combined fentanyl. The control group included 183 patients not undergoing intraoperative intravenous analgesia. Results The incidence of PEP in the trial group was 16.9%, while the incidence of PEP in the control group was 9.3%, P<0.05; The incidence of severe acute pancreatitis in the trial group was 1.6%, while the incidence of severe acute pancreatitis in the control group was 0.5%, P>0.05. Conclusion Intraoperative intravenous analgesia combined fentanyl probably increase the risk for PEP.
