CAJ | 학술논문

目的：探讨COPDⅠ、Ⅱ级患者行无痛消化内镜检查术的可行性、安全性，为建立无痛消化内镜检查规范提供临床依据。方法异丙酚联合小剂量芬太尼静脉镇静麻醉下，观察COPD Ⅰ、Ⅱ级患者行消化内镜检查术前、术中、术后血压、心率、血氧饱和度的变化，和术中、术后不适及并发症的发生情况。结果全部患者均完成无痛消化内镜检查，不良反应：包括舌后坠、呛咳躁动、血氧饱和度下降、心律失常、血压下降等，经合理处置后患者均完成全程检查。结论充分术前准备，严密监测术中不良反应并及时处理，COPDⅠ、Ⅱ级患者行无痛消化内镜检查术是可行的、安全的。
목적：탐토COPDⅠ、Ⅱ급환자행무통소화내경검사술적가행성、안전성，위건립무통소화내경검사규범제공림상의거。방법이병분연합소제량분태니정맥진정마취하，관찰COPD Ⅰ、Ⅱ급환자행소화내경검사술전、술중、술후혈압、심솔、혈양포화도적변화，화술중、술후불괄급병발증적발생정황。결과전부환자균완성무통소화내경검사，불량반응：포괄설후추、창해조동、혈양포화도하강、심률실상、혈압하강등，경합리처치후환자균완성전정검사。결론충분술전준비，엄밀감측술중불량반응병급시처리，COPDⅠ、Ⅱ급환자행무통소화내경검사술시가행적、안전적。
Objective To investigate safety and feasibility of Painless gastrointestinal endoscopy in patients with chronic ob-structive pulmonary disease of grade Ⅰ 、Ⅱ .Methods Propofol combined with low doses of fentanyl were used in painless gas-trointestinal endoscopy .Multifunction monitor was used to measure systolic blood pressure (SBP) ,diastolic blood pressure (DBP) ,heart rate (HR) and blood oxygen saturation (SPO2 ) of patients before、after and during Painless gastrointestinal en-doscopy .Discomfort and complications was observed and recorded during and after operation .Results Painless gastrointestinal endoscopy was performed in all patients .Adverse reactions did not affect examination after reasonable disposal ,including glos-socoma ,bucking and restlessness ,decrease of oxygen saturation ,arrhythmia ,blood pressure drops ,etc .Conclusion Painless gastrointestinal endoscopy is feasible and safe for patients with chronic obstructive pulmonary disease of grade Ⅰ 、Ⅱ through sufficient preparations before examination and observing adverse reactions closely and solving it timely during practice .