医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
30期
319-320
,共2页
老年患者%无痛肠镜%麻醉药物
老年患者%無痛腸鏡%痳醉藥物
노년환자%무통장경%마취약물
Gerontal patient%Painless colonoscopy%Anesthesia drugs
目的比较不同麻醉药物对老年无痛肠镜检查的安全性、可行性及效果。方法拟行肠镜检查患者90例，随机分为三组，靶控输注丙泊酚组(A组)，靶控输注丙泊酚和瑞芬太尼组(B组)和对照组(C组)，每组30例。记录检查不同时间点的平均血压、心率和脉搏血氧饱和度。记录各组呼吸抑制和低血压的发生例数。结果 A组：与用药前相比，检查过程中，心率显著降低(<0.05)，操作结束恢复检查前水平。B组：平均动脉压，心率，血氧饱和度无明显变化(>0.05)。A组血氧饱和度下降例数明显多于B组(<0.05)。对照组在检查开始及检查中平均动脉压及心率显著增高(<0.05)，血氧饱和度无1例下降。结论丙泊酚联合瑞芬太尼在无痛肠镜检查时患者保持清醒状态，检查中生命体征平稳，安全性高。
目的比較不同痳醉藥物對老年無痛腸鏡檢查的安全性、可行性及效果。方法擬行腸鏡檢查患者90例，隨機分為三組，靶控輸註丙泊酚組(A組)，靶控輸註丙泊酚和瑞芬太尼組(B組)和對照組(C組)，每組30例。記錄檢查不同時間點的平均血壓、心率和脈搏血氧飽和度。記錄各組呼吸抑製和低血壓的髮生例數。結果 A組：與用藥前相比，檢查過程中，心率顯著降低(<0.05)，操作結束恢複檢查前水平。B組：平均動脈壓，心率，血氧飽和度無明顯變化(>0.05)。A組血氧飽和度下降例數明顯多于B組(<0.05)。對照組在檢查開始及檢查中平均動脈壓及心率顯著增高(<0.05)，血氧飽和度無1例下降。結論丙泊酚聯閤瑞芬太尼在無痛腸鏡檢查時患者保持清醒狀態，檢查中生命體徵平穩，安全性高。
목적비교불동마취약물대노년무통장경검사적안전성、가행성급효과。방법의행장경검사환자90례，수궤분위삼조，파공수주병박분조(A조)，파공수주병박분화서분태니조(B조)화대조조(C조)，매조30례。기록검사불동시간점적평균혈압、심솔화맥박혈양포화도。기록각조호흡억제화저혈압적발생례수。결과 A조：여용약전상비，검사과정중，심솔현저강저(<0.05)，조작결속회복검사전수평。B조：평균동맥압，심솔，혈양포화도무명현변화(>0.05)。A조혈양포화도하강례수명현다우B조(<0.05)。대조조재검사개시급검사중평균동맥압급심솔현저증고(<0.05)，혈양포화도무1례하강。결론병박분연합서분태니재무통장경검사시환자보지청성상태，검사중생명체정평은，안전성고。
Objective To compare the ef ects of dif erent anesthesia drugs on the safety,feasibility of old patients undergoing painless enteroscopy. Methods 90 patients were randomly divided into three groups,group A、B and C, 30 patients.MAP、HR、SPO2 were recorded.The cases of respiration depression and hypotension were recorded. Results In group A, HR significantly decreased ( <0.05),but returned to normal after endoscopy procedure.In group B, MAP、HR、SPO2 had no obvious changing ( >0.05), SPO2 of group A significantly decreased more than group B. In group C, MAP, HR increased in procedure, but SPO2 didn't decrease in any cases. Conclusion TCL of propofol and remifentanil for painless colonoscopy can diminish the disturbances of respiration and circulation. The patients are awake, and the vital signs were stable during colonoscopy.
