中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
6期
488-490
,共3页
内窥镜检查,胃肠道%麻醉,静脉%二异丙酚
內窺鏡檢查,胃腸道%痳醉,靜脈%二異丙酚
내규경검사,위장도%마취,정맥%이이병분
Endoscopy,gastrointestinal%Anesthesia,intravenous%Propofol
目的 评价异丙酚合并芬太尼静脉麻醉在老年患者胃肠镜联合检查中的效果及安全性.方法 回顾分析326例采用静脉麻醉下胃肠镜联合检查(联合检查组)老年患者的临床资料,与同期接受静脉麻醉下胃镜(胃镜组)或结肠镜检查(结肠镜组)的老年患者进行对照,比较各组血压、心率、血氧饱和度(SpO2)变化情况以及不良反应发生情况.结果 异丙酚平均用量分别为联合检查组(100.4±38.5)mg、胃镜组(130.4±50.5)mg、结肠镜组(170.3±60.3)mg,所有患者均能达到胃肠镜检查的满意镇静程度,无因麻醉并发症终止胃肠镜检查者；心率、血压变化及心血管事件发生率各组间比较,差异无统计学意义(P＞0.05)；呼吸事件发生率分别为9例(3.1％)、6例(2.3％)和13例(4.0％),差异亦无统计学意义(P＞0.05).结论 在严格控制适应证、术中严密监测的条件下,应用异丙酚静脉复合麻醉对于老年患者胃肠镜联合检查是安全、有效的.
目的 評價異丙酚閤併芬太尼靜脈痳醉在老年患者胃腸鏡聯閤檢查中的效果及安全性.方法 迴顧分析326例採用靜脈痳醉下胃腸鏡聯閤檢查(聯閤檢查組)老年患者的臨床資料,與同期接受靜脈痳醉下胃鏡(胃鏡組)或結腸鏡檢查(結腸鏡組)的老年患者進行對照,比較各組血壓、心率、血氧飽和度(SpO2)變化情況以及不良反應髮生情況.結果 異丙酚平均用量分彆為聯閤檢查組(100.4±38.5)mg、胃鏡組(130.4±50.5)mg、結腸鏡組(170.3±60.3)mg,所有患者均能達到胃腸鏡檢查的滿意鎮靜程度,無因痳醉併髮癥終止胃腸鏡檢查者；心率、血壓變化及心血管事件髮生率各組間比較,差異無統計學意義(P＞0.05)；呼吸事件髮生率分彆為9例(3.1％)、6例(2.3％)和13例(4.0％),差異亦無統計學意義(P＞0.05).結論 在嚴格控製適應證、術中嚴密鑑測的條件下,應用異丙酚靜脈複閤痳醉對于老年患者胃腸鏡聯閤檢查是安全、有效的.
목적 평개이병분합병분태니정맥마취재노년환자위장경연합검사중적효과급안전성.방법 회고분석326례채용정맥마취하위장경연합검사(연합검사조)노년환자적림상자료,여동기접수정맥마취하위경(위경조)혹결장경검사(결장경조)적노년환자진행대조,비교각조혈압、심솔、혈양포화도(SpO2)변화정황이급불량반응발생정황.결과 이병분평균용량분별위연합검사조(100.4±38.5)mg、위경조(130.4±50.5)mg、결장경조(170.3±60.3)mg,소유환자균능체도위장경검사적만의진정정도,무인마취병발증종지위장경검사자；심솔、혈압변화급심혈관사건발생솔각조간비교,차이무통계학의의(P＞0.05)；호흡사건발생솔분별위9례(3.1％)、6례(2.3％)화13례(4.0％),차이역무통계학의의(P＞0.05).결론 재엄격공제괄응증、술중엄밀감측적조건하,응용이병분정맥복합마취대우노년환자위장경연합검사시안전、유효적.
Objective To evaluate the safety of intrvenous balanced propofol sedation with fentanyl in elderly patients during combined gastroscopy and colonoscopy procedures.Methods Totally 877 elderly patients aged (76.4 ± 8.5) years received intravenous propofol and fentanyl sedation during gastroscopy or/and colonoscopy procedures were assigned to groups:294 cases with only gastroscopy,257 cases with only colonoscopy and 326 cases with combined gastroscopy and colonoscopy.50 g Fentanyl and 0.5-1.0 mg/kg propofol were intravenously administered in the patients.The peripheral oxygen saturation,arterial pressure and heart rate were monitored and recorded during procedures.Results There were no procedure-related perforations and sedationassociated severe complications and mortalities,and no one need stop endoscopy procedures in all the patients.The average dosage of propofol in combined,gastroscopy and colonoscopy groups were (100.4±38.5) mg,(130.4±50.5)mg and (170.3± 60.3)mg,respectively.There were no significant differences in heart rate,arterial pressure and rate of cardiovascular events among groups (P＞0.05).The rate of respiration events in the above groups were 9 cases(3.1％),6 cases(2.3％)and 13 cases(4.0％),respectively (P＞0.05).Decrease of peripheral oxygen saturation was mainly induced by the aspiration of oral secretions and snoring.Conclusions Intravenous balanced propofol sedation provides safe and effective sedation in the elderly undergoing combined gastroscopy and colonoscopy.
