CAJ | 학술논문

目的：探讨老年人在胃镜检查中应用瑞芬太尼的安全性及相关护理。方法100例患者随机分为两组，异丙酚组50例，瑞芬太尼组50例。异丙酚组患者注射异丙酚1～1.5 mg/kg，必要时可追加20～50 mg。瑞芬太尼组患者先静脉滴注瑞芬太尼1μg/kg，随后以0.1μg/（kg·min）持续静脉滴注至结束。记录检查过程中血压、心率、血氧饱和度变化。结果异丙酚组出现轻度循环、呼吸抑制，检查前后血压、脉搏、血氧饱和度比较，差异有统计学意义，瑞芬太尼组差异则无统计学意义。结论低剂量瑞芬太尼可安全用于老年患者。
목적：탐토노년인재위경검사중응용서분태니적안전성급상관호리。방법100례환자수궤분위량조，이병분조50례，서분태니조50례。이병분조환자주사이병분1～1.5 mg/kg，필요시가추가20～50 mg。서분태니조환자선정맥적주서분태니1μg/kg，수후이0.1μg/（kg·min）지속정맥적주지결속。기록검사과정중혈압、심솔、혈양포화도변화。결과이병분조출현경도순배、호흡억제，검사전후혈압、맥박、혈양포화도비교，차이유통계학의의，서분태니조차이칙무통계학의의。결론저제량서분태니가안전용우노년환자。
Objective To observe the safety of gastroscope examination with Remifentanil and nursing approaches in old patients. Methods 100 patients were assigned randomly into two groups. 50 patients in group Propofol were treated with Propofol 1-1.5 mg/kg, and 20-50 mg was added if necessary. Group Remifentanil was intravenously injected with Remifentanil 1 μg/kg before examination, and the medicine was continued injected with the speed of 0.1 μg/(kg·min). In the stage of examination, blood pressure, pulse and blood oxygen were recorded. Results The patients of group Propofol showed a slight inhibition of circulation and respiration, and the numerical values of blood pressure, pulse and blood oxygen were significantly changed in the stage of examination. The patients in group Remifentanil showed no difference. Conclusion The low dosage of Remifentanil can be used safely in gastroscope examination.