CAJ | 학술논문

目的:胃镜检查过程中辅以良好的止痛及镇静，以减少病人痛苦，提高检查成功率。方法：将1 350例患者随机分为观察与对照组，对检查过程中血压、心率、血氧饱和度及操作时间、检查成功率、检查反应进行观察分析。结果：观察组检查成功率比对照组高，检查不良反应比对照组低，而血氧饱和度、操作时间两组间相比无明显区别，心率、血压(收缩压和舒张压)与对照组比较均有所下降。结论：辅以异丙酚及咪唑安定静脉注射进行胃镜检查是安全有效的，为无痛苦胃镜检查。
목적:위경검사과정중보이량호적지통급진정，이감소병인통고，제고검사성공솔。방법：장1 350례환자수궤분위관찰여대조조，대검사과정중혈압、심솔、혈양포화도급조작시간、검사성공솔、검사반응진행관찰분석。결과：관찰조검사성공솔비대조조고，검사불량반응비대조조저，이혈양포화도、조작시간량조간상비무명현구별，심솔、혈압(수축압화서장압)여대조조비교균유소하강。결론：보이이병분급미서안정정맥주사진행위경검사시안전유효적，위무통고위경검사。
Objective:The study was attempted to improve the manipulation and eliminate patient's fear for gastroscopy combined with intravenous injection.Methods:A total of 1350 patients wasrandomized into test group (n=1100 given intraveous protofol and midazolam)and the control (n=250,without anesthetics).Patient's feeling,heart rate,blood oxygen saturation,blood pressure,operative duration and operator' satisfaction were recored and analysed.Results:Data in test group showed less complaints,easier manipulation,high satisfaction and no difference in operative duration and blood oxygen saturation as compared with the control.After intravenous administration of protofol and midazolam,patient's heart rate and blood pressure (systolic and diastolic pressure) significantly decreased.Conclusions:With intravenous use of protofol and midazolam,gastroscopy can be achieved effectively,painlessly and safely.