CAJ | 학술논문

目的探讨镇静/镇痛与麻醉术在沙氏扩张器治疗食管狭窄中的应用价值.方法 45例患者分3组:咽部表麻组;清醒镇静组;静脉麻醉组.观察3组不良反应,以及治疗前、治疗中、治疗后血压、呼吸、心率和血氧饱和度变化.结果咽部表麻组精神紧张、呛咳和拔管行为等不良反应明显.术中呼吸、心率及血压有明显升高(P<0.05),但在正常范围内,血氧饱和度无太大变化;清醒镇静组不良反应明显减少,术中呼吸、心率及血压较术前无明显变化,出现低氧血症2例;静脉麻醉组,术中患者耐受性好,不良反应少;但术中平均血压明显低于术前(P<0.05);呼吸、心率比术前有所减慢,但差异无统计学意义(P>0.05),出现低氧血症4例.结论在内镜治疗中,合理选用镇静/镇痛与麻醉术有利于提高患者的依从性与耐受性,使治疗更加经济、安全、舒适.
목적탐토진정/진통여마취술재사씨확장기치료식관협착중적응용개치.방법 45례환자분3조:인부표마조;청성진정조;정맥마취조.관찰3조불량반응,이급치료전、치료중、치료후혈압、호흡、심솔화혈양포화도변화.결과인부표마조정신긴장、창해화발관행위등불량반응명현.술중호흡、심솔급혈압유명현승고(P<0.05),단재정상범위내,혈양포화도무태대변화;청성진정조불량반응명현감소,술중호흡、심솔급혈압교술전무명현변화,출현저양혈증2례;정맥마취조,술중환자내수성호,불량반응소;단술중평균혈압명현저우술전(P<0.05);호흡、심솔비술전유소감만,단차이무통계학의의(P>0.05),출현저양혈증4례.결론재내경치료중,합리선용진정/진통여마취술유리우제고환자적의종성여내수성,사치료경가경제、안전、서괄.
Objective To explore the value of Sedative/analgesic and narcotic in the savary dilator in the treatment of esophageal stenosis. Methods 45 cases of patients were divided into 3 groups: Pharyngeal sur-face anesthesia group; conscious sedation and intravenous anesthesia, Observation Group 3 patients with adverse reactions, as well as pre-treatment, treatment, treatment of blood pressure, respiration, heart rate and oxygen satu-ration changes. Results Pharyngeal surface anesthesia group Significant stress、cough、 extubation act, and other adverse reactions, Intraoperative breathing, heart rate and blood pressure increased significantly (P<0.05), but in the normal range, Oxygen saturation did not change much; Sedation group significantly reduced side effects,patients in breathing,heart rate and blood pressure than before no significant changes occur hypoxemia 2; intra-venous anesthesia group, patients with intraoperative tolerance, and less adverse reactions; but the average intra-operative Blood pressure was significantly lower than before (P<0.05); breathing, heart rate than the pre-oper-ative has been slow, but the difference was not statistically significant (P>0.05), hypoxemia occurred in 4 ca-ses. Conclusion In the endoscopic treatment, a reasonable choice of sedation/anesthesia and analgesic tech-nique will help improve patient compliance and tolerance,To make treatment more economic, safety, comfort.