中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
23期
124-125
,共2页
酮咯酸氨丁三醇%丙泊酚%无痛肠镜
酮咯痠氨丁三醇%丙泊酚%無痛腸鏡
동각산안정삼순%병박분%무통장경
Ketorolac tromethamine%Propofol%Painless colonoscopy
目的：评价酮咯酸氨丁三醇联合丙泊酚静脉麻醉用于无痛肠镜检查的麻醉效果及安全性。方法：选择120例自愿实施无痛肠镜检查患者，随机分为两组，A组仅使用丙泊酚，B组先静脉滴注酮咯酸氨丁三醇30 mg，5 min后静脉推注丙泊酚。记录两组患者在不同时间点的平均动脉压（MAP）、心率（HR）、呼吸（RR）及血氧饱和度（SpO2）数值，比较两组患者的丙泊酚用量、手术时间、术中肢动、清醒时间、疼痛评分。结果：所有患者均顺利完成手术，两组术中的MAP、HR均较术前显著降低（P<0.05），但两组间比较差异无统计学意义（P>0.05）。B组的丙泊酚用量、疼痛评分、麻醉效果显著优于A组（P<0.05）。两组手术时间、清醒时间比较差异无统计学意义（P>0.05）。结论：在无痛肠镜检查中联合应用酮咯酸氨丁三醇-丙泊酚能增强麻醉效果，不增加麻醉风险，术后腹痛减少，患者满意，是一种安全、有效的麻醉方法，值得在临床上推广应用。
目的：評價酮咯痠氨丁三醇聯閤丙泊酚靜脈痳醉用于無痛腸鏡檢查的痳醉效果及安全性。方法：選擇120例自願實施無痛腸鏡檢查患者，隨機分為兩組，A組僅使用丙泊酚，B組先靜脈滴註酮咯痠氨丁三醇30 mg，5 min後靜脈推註丙泊酚。記錄兩組患者在不同時間點的平均動脈壓（MAP）、心率（HR）、呼吸（RR）及血氧飽和度（SpO2）數值，比較兩組患者的丙泊酚用量、手術時間、術中肢動、清醒時間、疼痛評分。結果：所有患者均順利完成手術，兩組術中的MAP、HR均較術前顯著降低（P<0.05），但兩組間比較差異無統計學意義（P>0.05）。B組的丙泊酚用量、疼痛評分、痳醉效果顯著優于A組（P<0.05）。兩組手術時間、清醒時間比較差異無統計學意義（P>0.05）。結論：在無痛腸鏡檢查中聯閤應用酮咯痠氨丁三醇-丙泊酚能增彊痳醉效果，不增加痳醉風險，術後腹痛減少，患者滿意，是一種安全、有效的痳醉方法，值得在臨床上推廣應用。
목적：평개동각산안정삼순연합병박분정맥마취용우무통장경검사적마취효과급안전성。방법：선택120례자원실시무통장경검사환자，수궤분위량조，A조부사용병박분，B조선정맥적주동각산안정삼순30 mg，5 min후정맥추주병박분。기록량조환자재불동시간점적평균동맥압（MAP）、심솔（HR）、호흡（RR）급혈양포화도（SpO2）수치，비교량조환자적병박분용량、수술시간、술중지동、청성시간、동통평분。결과：소유환자균순리완성수술，량조술중적MAP、HR균교술전현저강저（P<0.05），단량조간비교차이무통계학의의（P>0.05）。B조적병박분용량、동통평분、마취효과현저우우A조（P<0.05）。량조수술시간、청성시간비교차이무통계학의의（P>0.05）。결론：재무통장경검사중연합응용동각산안정삼순-병박분능증강마취효과，불증가마취풍험，술후복통감소，환자만의，시일충안전、유효적마취방법，치득재림상상추엄응용。
Objective:To evaluate the anesthetia effect and safety using ketorolac tromethamine combined with propofol intravenous anesthesia in painless colonoscopy examination.Method:120 patients which voluntary accept the painless colonoscopy examination were randomly divided into two groups.The cases in group A were undergoing propofol intravenous anesthesia only,while the cases in group B were intravenous dripped ketorolac tromethamine 30mg first then injected the propofol 5 minutes later.Memorize the changes of MAP,HR,RR and SpO2 in different time points.Two groups of patients with the dosage of propofol,the operation time,the physical activities in operation,the awake time,the pain score were compared.Result:All patients received successful operation. Also the patients’s MAP and HR decreased significantly during the operation in both group A and B,but there were no significant difference between two groups(P>0.05). The dosage of propofol,the pain score,the anesthetia effect of the patients’s in groups B were better than those in groups A(P<0.05).There were no obvious differences between two groups about the operation times and the awake time(P>0.05).Conclusion:The anesthetia effect were inhanced while use ketorolac tromethamine combined with propofol intravenous anesthesia in painless colonoscopy examination,this method did not increase the risk of anesthesia,the patients were satisfied with less abdominal pains,it was a safe and effective anesthesia method.
