CAJ | 학술논문

目的探讨丙泊酚联合芬太尼深度静脉麻醉胃镜检查术后患者不适的影响因素。方法随机抽取2010年9月-2010年10月某院深度镇静麻醉胃镜检查术受检者270名,术前采用自制问卷调查,记录受检者术中术后多项指标,分析深度镇静麻醉胃镜检查术术后患者不适的主要影响因素。采用描述性统计分析、χ2检验、单因素非条件logistic回归分析。结果术后不适的影响因素有年龄、BMI、是否患有冠心病、是否曾经做过胃镜检查、术前心理是否紧张、术中是否出现呛咳和躁动、麻醉药物起效时间、术后清醒时间。结论对于年龄较大、肥胖、患有冠心病、以往从未做过胃镜检查、术前紧张、术中出现呛咳躁动、麻醉药物起效时间长的受检者应在术中密切观察其呼吸、循环受抑制情况,并在术后延长观察时间。
목적탐토병박분연합분태니심도정맥마취위경검사술후환자불괄적영향인소。방법수궤추취2010년9월-2010년10월모원심도진정마취위경검사술수검자270명,술전채용자제문권조사,기록수검자술중술후다항지표,분석심도진정마취위경검사술술후환자불괄적주요영향인소。채용묘술성통계분석、χ2검험、단인소비조건logistic회귀분석。결과술후불괄적영향인소유년령、BMI、시부환유관심병、시부증경주과위경검사、술전심리시부긴장、술중시부출현창해화조동、마취약물기효시간、술후청성시간。결론대우년령교대、비반、환유관심병、이왕종미주과위경검사、술전긴장、술중출현창해조동、마취약물기효시간장적수검자응재술중밀절관찰기호흡、순배수억제정황,병재술후연장관찰시간。
Objective： To explore the relevant factors about indisposition for patients after painless gastroscopy joint anesthesia with fentanyl and Propofol.Methods： 270 subjects with deep sedation anesthesia gastroscopy were randomly selected from September 2010 to October 2010 in a hospital.The patients were interviewed with questionnaires about general state before checking and many intraoperative and postoperative index were recorded,then the main affective factors which made adverse reflection were also analyzed with descriptive statistical analysis,χ2 test,single factor non-conditional logistic regression analysis.Results： The influence factors were age,BMI,whether suffering from coronary heart disease,whether have gastroscopy ever,whether have pre-operative psychological tension,whether have choking and restlessness in the operation,the onset time of narcotic drugs,the sober time after checking.Conclusion： For the patients who are older,obesity,or suffering from coronary heart disease,has never done gastroscopy before,preoperative nervous,cough during the operation,long effective time of narcotic drugs should be closely observed their breathing,circulation restrain,and extend the observation time after surgery.