中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
7期
49-51
,共3页
无痛胃镜%联合用药%综合指标
無痛胃鏡%聯閤用藥%綜閤指標
무통위경%연합용약%종합지표
Painless gastroscopy%Combined treatment%Comprehensive index
目的 研究综合指标观察在门诊无痛胃镜日间镇静应用的安全性和科学性.方法 选择门诊自愿接受无痛胃肠镜检查患者100例,ASA I～Ⅱ级,随机分为A组和B组,每组50例,给予小剂量咪达唑仑与丙泊酚联合.在缓慢注药前提下,A组应用综合指标观察给药,B组按千克体质量给药.观察两组在不同操作点生命征变化,整个过程不良反应发生情况、操作满意度、人为干预情况,以及用药、操作时间、苏醒及离室时间.结果 两组短时间均出现了循环、呼吸的波动,与麻醉前比较差异有统计学意义(P＜0.05).B组体动增加,反复用药例数较多,操作时间延长、操作满意度不高.两组丙泊酚用量、操作时间、复苏及离室时间比较差异均有统计学意义(P＜0.05).两组均完成操作,无一例意外发生,当日出院.结论 咪达唑仑与丙泊酚联合应用,综合指标观察缓慢注药,在门诊无痛胃镜是安全可行的.但应警惕呼吸、循环不良事件发生.
目的 研究綜閤指標觀察在門診無痛胃鏡日間鎮靜應用的安全性和科學性.方法 選擇門診自願接受無痛胃腸鏡檢查患者100例,ASA I～Ⅱ級,隨機分為A組和B組,每組50例,給予小劑量咪達唑崙與丙泊酚聯閤.在緩慢註藥前提下,A組應用綜閤指標觀察給藥,B組按韆剋體質量給藥.觀察兩組在不同操作點生命徵變化,整箇過程不良反應髮生情況、操作滿意度、人為榦預情況,以及用藥、操作時間、囌醒及離室時間.結果 兩組短時間均齣現瞭循環、呼吸的波動,與痳醉前比較差異有統計學意義(P＜0.05).B組體動增加,反複用藥例數較多,操作時間延長、操作滿意度不高.兩組丙泊酚用量、操作時間、複囌及離室時間比較差異均有統計學意義(P＜0.05).兩組均完成操作,無一例意外髮生,噹日齣院.結論 咪達唑崙與丙泊酚聯閤應用,綜閤指標觀察緩慢註藥,在門診無痛胃鏡是安全可行的.但應警惕呼吸、循環不良事件髮生.
목적 연구종합지표관찰재문진무통위경일간진정응용적안전성화과학성.방법 선택문진자원접수무통위장경검사환자100례,ASA I～Ⅱ급,수궤분위A조화B조,매조50례,급여소제량미체서륜여병박분연합.재완만주약전제하,A조응용종합지표관찰급약,B조안천극체질량급약.관찰량조재불동조작점생명정변화,정개과정불량반응발생정황、조작만의도、인위간예정황,이급용약、조작시간、소성급리실시간.결과 량조단시간균출현료순배、호흡적파동,여마취전비교차이유통계학의의(P＜0.05).B조체동증가,반복용약례수교다,조작시간연장、조작만의도불고.량조병박분용량、조작시간、복소급리실시간비교차이균유통계학의의(P＜0.05).량조균완성조작,무일례의외발생,당일출원.결론 미체서륜여병박분연합응용,종합지표관찰완만주약,재문진무통위경시안전가행적.단응경척호흡、순배불량사건발생.
Objective To study the comprehensive index in security,scientific painless gastroscope daytime sedation application.Methods One hundred cases of outpatient voluntarily accept painless gastrointestinal endoscopy patients,ASA Ⅰ-Ⅱ,were randomly divided into group A,group B,low dose midazolam and propofol were given.In the slow injection condition,group A had comprehensive index to observe the administration,group B was administered according to the weight in kilograms.The two groups were observed at different operating points of vital sign changes,occurrence of adverse reactions,the whole process of operation satisfaction,human intervention,and medication,operation time,recovery time and leave the room time.Results The two groups appeared circulation,respiratory fluctuations within a short period of time,there were significant differences compared with before anesthesia.Activity increased in group B,the cases of repeated drug use was more,operation time was prolonged and the operation of satisfaction was not high.The difference of two groups in the dosage of propofol,operation time,recovery and discharge time were signicant.The two groups all completed the procedure,there were no accident,same day discharge.Conclusions Midazolam combined with propofol,the comprehensive index of slow injection in clinic observation,painless gastroscopy is safe and feasible.But it should be wary of respiration,circulation of adverse events.
