吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
28期
6274-6276
,共3页
芬太尼%异丙酚%小儿无痛肠镜
芬太尼%異丙酚%小兒無痛腸鏡
분태니%이병분%소인무통장경
Fentanyl%Propofol%Pediatric Painless Colonoscopy
目的：探讨芬太尼联合异丙酚比单用异丙酚用于小儿肠镜检查的优越性。方法：选取96例拟行肠镜检查的患儿，年龄3~13岁，随机分成两组，每组48例，A组为芬太尼联合异丙酚组，静脉注射芬太尼1μg/kg，再静脉注射异丙酚2 mg/kg；B组单用异丙酚，静脉注射异丙酚2 mg/kg。记录分析患儿麻醉期心率（ HR）、平均动脉压（ MAP）和血氧饱和度（ SpO2）的变化，以及异丙酚用药量、检查时间和清醒时间。结果：A、B两组患儿HR、MAP比麻醉前有所下降，差异有统计学意义（ P<0.05）；两组SpO2无明显变化，差异无统计学意义（ P>0.05）；A组异丙酚用药量明显少于B组，清醒时间明显短于B组，差异均有统计学意义（ P<0.05）；两组检查时间比较，差异无统计学意义（ P>0.05）。结论：芬太尼联合异丙酚用于小儿肠镜检查是安全有效的，优于单用异丙酚。
目的：探討芬太尼聯閤異丙酚比單用異丙酚用于小兒腸鏡檢查的優越性。方法：選取96例擬行腸鏡檢查的患兒，年齡3~13歲，隨機分成兩組，每組48例，A組為芬太尼聯閤異丙酚組，靜脈註射芬太尼1μg/kg，再靜脈註射異丙酚2 mg/kg；B組單用異丙酚，靜脈註射異丙酚2 mg/kg。記錄分析患兒痳醉期心率（ HR）、平均動脈壓（ MAP）和血氧飽和度（ SpO2）的變化，以及異丙酚用藥量、檢查時間和清醒時間。結果：A、B兩組患兒HR、MAP比痳醉前有所下降，差異有統計學意義（ P<0.05）；兩組SpO2無明顯變化，差異無統計學意義（ P>0.05）；A組異丙酚用藥量明顯少于B組，清醒時間明顯短于B組，差異均有統計學意義（ P<0.05）；兩組檢查時間比較，差異無統計學意義（ P>0.05）。結論：芬太尼聯閤異丙酚用于小兒腸鏡檢查是安全有效的，優于單用異丙酚。
목적：탐토분태니연합이병분비단용이병분용우소인장경검사적우월성。방법：선취96례의행장경검사적환인，년령3~13세，수궤분성량조，매조48례，A조위분태니연합이병분조，정맥주사분태니1μg/kg，재정맥주사이병분2 mg/kg；B조단용이병분，정맥주사이병분2 mg/kg。기록분석환인마취기심솔（ HR）、평균동맥압（ MAP）화혈양포화도（ SpO2）적변화，이급이병분용약량、검사시간화청성시간。결과：A、B량조환인HR、MAP비마취전유소하강，차이유통계학의의（ P<0.05）；량조SpO2무명현변화，차이무통계학의의（ P>0.05）；A조이병분용약량명현소우B조，청성시간명현단우B조，차이균유통계학의의（ P<0.05）；량조검사시간비교，차이무통계학의의（ P>0.05）。결론：분태니연합이병분용우소인장경검사시안전유효적，우우단용이병분。
Objective To investigate the advantage of combined use of Fentanyl and Propofol compared with only Propofol in pediatric painless colonoscopy. Method 96 children aged 3 to 13 years old undergoing colonoscopy were divided into two groups randomly. In group A( propofol- fentanyl group:n=48 ),fentanyl 1 μg/kg iv was given first,then propofol 2 mg/kg iv was given. In group B( propofol group:n=48),propofol 2 mg/kg iv was given. The changes of mean artery pressure(MAP),satuation of pulse oxygen(SpO2),heart rate ( HR),dosage of propofol,examination time,recovery time were recorded and analyzed. Results MAP and HR in both groups had dropped obviously as compared with pre-operation( P<0. 05 );Changes of SpO2 in both groups were not significant( P>0. 05 );The dosage of propofol,recovery time in group A were much less than that in group B(P<0. 05). Examination time in both groups had no significant differences(P>0. 05). Conclusion Combining use of Fentanyl and Propofol is safe and effective in pediatric painless colonoscopy,and is better than only use of Propofol.
