CAJ | 학술논문

目的观察丙泊酚行无痛肠镜时病人血浆血糖及皮质醇浓度的变化.方法选择行电子肠镜检查病人100例,ASAⅠ～Ⅱ级,男63例,女37例,年龄20～70岁,体重40～85kg,近期无任何服药史,无内分泌疾病史.随机分为2组:T组(观察组)和L组(对照组)各50例.结果 L组病人检查中5min出现血浆皮质醇及血糖浓度升高,而T组变化不明显.T组病人麻醉诱导及维持效果满意,麻醉前后循环呼吸功能尚稳定;检查中5min L组SBP和HR较T组明显升高,2组均未出现严重呼吸抑制.结论丙泊酚静脉麻醉下实施肠镜检查安全、效果确切,能有效地控制检查时的应激反应,对提高消化道疾病的诊断率具有重要意义.
목적 관찰병박분행무통장경시병인혈장혈당급피질순농도적변화.방법 선택행전자장경검사병인100례,ASAⅠ～Ⅱ급,남63례,녀37례,년령20～70세,체중40～85kg,근기무임하복약사,무내분비질병사.수궤분위2조:T조(관찰조)화L조(대조조)각50례.결과 L조병인검사중5min출현혈장피질순급혈당농도승고,이T조변화불명현.T조병인마취유도급유지효과만의,마취전후순배호흡공능상은정;검사중5min L조SBP화HR교T조명현승고,2조균미출현엄중호흡억제.결론 병박분정맥마취하실시장경검사안전、효과학절,능유효지공제검사시적응격반응,대제고소화도질병적진단솔구유중요의의.
Objcctive To observe the fluctuations of the patients'plasma and blood sugar and cortisol levels in the indolent enteroscope check with propofol.Method Chose 100 patients, ASA Ⅰ～Ⅱ Level, 63 men and 37 women, who were going to have electronic entroscope check, aged from 20 to 70, and weighed from 40 to 85kg.They did not take any medicine and had no endocrine disease recently.They were divided into two groups randomly, Group T and Group L, 50 patients in each group.Results Patients in Group L were checked that the plasma cortisol and blood sugar levels increased in 5 min, while the ones of patients in Group T changed not so obviously.The result of anesthesia induction and maintenance in Group T was good, and circular breathing was still stable before and after anesthesia.In review, SBP and HR of Group L increased more than Group T in 5 min, and both of the two groups did not appear serious respiratory depression.Conclusion It is safe and has good effects to make enteroscope check under intravenous anesthesia with propofol, which can control the stress response efficiently in review, and is constructive for improving the diagnostic accuracy of disease of digestive tract.