中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
26期
133-135
,共3页
老年无痛胃镜术%地佐辛%丙泊酚%疗效
老年無痛胃鏡術%地佐辛%丙泊酚%療效
노년무통위경술%지좌신%병박분%료효
Elderly painless gastroscope%Dezocine%Propofol%Efficacy
目的：探究老年患者无痛胃镜术中应用地佐辛与丙泊酚的疗效。方法：选取2012年6月-2014年6月在本院接受治疗的95例行无痛胃镜术的老年患者作为本次研究试验对象，观察组采用地佐辛和丙泊酚进行麻醉，对照组采用盐酸瑞芬太尼和丙泊酚进行麻醉，观察比较两组患者的麻醉效果、各项体征指标和不良反应发生情况。结果：T2时，观察组患者的MAP和HR较T1时均明显降低，观察组的MAP明显高于对照组，差异均有统计学意义（P<0.05），同时期对照组患者的MAP和SpO2较T1时均明显降低，差异均有统计学意义（P<0.05）；T3时，观察组患者的HR明显低于观察组，而SpO2值稍高于对照组，比较差异均有统计学意义（P<0.05）。观察组患者平均麻醉起效、清醒时间均明显短于对照组，VAS评分明显低于对照组，总不良反应发生率10.42%明显低于对照组的38.30%，比较差异均有统计学意义（P<0.05）。结论：老年行无痛胃镜手术患者使用地佐辛联合丙泊酚的麻醉疗效较好，术中麻醉起效快，疼痛小，有利于胃镜手术的实施，麻醉清醒时间短，术后患者不良反应少，安全性高，值得广泛推荐使用于临床当中。
目的：探究老年患者無痛胃鏡術中應用地佐辛與丙泊酚的療效。方法：選取2012年6月-2014年6月在本院接受治療的95例行無痛胃鏡術的老年患者作為本次研究試驗對象，觀察組採用地佐辛和丙泊酚進行痳醉，對照組採用鹽痠瑞芬太尼和丙泊酚進行痳醉，觀察比較兩組患者的痳醉效果、各項體徵指標和不良反應髮生情況。結果：T2時，觀察組患者的MAP和HR較T1時均明顯降低，觀察組的MAP明顯高于對照組，差異均有統計學意義（P<0.05），同時期對照組患者的MAP和SpO2較T1時均明顯降低，差異均有統計學意義（P<0.05）；T3時，觀察組患者的HR明顯低于觀察組，而SpO2值稍高于對照組，比較差異均有統計學意義（P<0.05）。觀察組患者平均痳醉起效、清醒時間均明顯短于對照組，VAS評分明顯低于對照組，總不良反應髮生率10.42%明顯低于對照組的38.30%，比較差異均有統計學意義（P<0.05）。結論：老年行無痛胃鏡手術患者使用地佐辛聯閤丙泊酚的痳醉療效較好，術中痳醉起效快，疼痛小，有利于胃鏡手術的實施，痳醉清醒時間短，術後患者不良反應少，安全性高，值得廣汎推薦使用于臨床噹中。
목적：탐구노년환자무통위경술중응용지좌신여병박분적료효。방법：선취2012년6월-2014년6월재본원접수치료적95례행무통위경술적노년환자작위본차연구시험대상，관찰조채용지좌신화병박분진행마취，대조조채용염산서분태니화병박분진행마취，관찰비교량조환자적마취효과、각항체정지표화불량반응발생정황。결과：T2시，관찰조환자적MAP화HR교T1시균명현강저，관찰조적MAP명현고우대조조，차이균유통계학의의（P<0.05），동시기대조조환자적MAP화SpO2교T1시균명현강저，차이균유통계학의의（P<0.05）；T3시，관찰조환자적HR명현저우관찰조，이SpO2치초고우대조조，비교차이균유통계학의의（P<0.05）。관찰조환자평균마취기효、청성시간균명현단우대조조，VAS평분명현저우대조조，총불량반응발생솔10.42%명현저우대조조적38.30%，비교차이균유통계학의의（P<0.05）。결론：노년행무통위경수술환자사용지좌신연합병박분적마취료효교호，술중마취기효쾌，동통소，유리우위경수술적실시，마취청성시간단，술후환자불량반응소，안전성고，치득엄범추천사용우림상당중。
Objective:To study the application efficacy of Dezocine combined with Propofol in elderly patients with painless gastroscopy.Method:95 elderly patients with painless gastroscopy admitted to our hospital from June 2012 to June 2014 were selected as research objects in the study,the observation group was given Dezocine combined with Propofol for anesthesia,the control group was given Remifentanil Hydrochloride combined with Propofol for anesthesia. The anesthetic effect,the signs of indicators and adverse reactions between the two groups were observed and compared. Result:Compared with T1 time point,the MAP and HR values of the observation group at T2 time point were significantly lower,the MAP of the observation group was significantly higher than the control group,the differences were statistically significant(P<0.05),while the MAP and SpO2 of the control group were significantly lower,the differences were statistically significant(P<0.05).At T3 time point,the HR of the observation group was significantly lower than the control group,and the SpO2 value was slightly higher than the control group,the differences were statistically significant (P<0.05).The average onset time of anesthesia,anesthesia awake time in the observation group were significantly shorter than the control group,the VAS score was significantly lower than the control group,the total incidence of adverse reactions in the observation group was 10.42%,which was significantly lower than 38.30% in the control group, the differences were statistically significant(P<0.05).Conclusion:The anesthetic effect of Dezocine combined with Propofol in elderly patients with painless gastroscopy is better,intraoperative anesthetic effect quickly,with little pain, is conducive to the implementation of endoscopic surgery,shorter anesthesia awake time,less postoperative adverse reactions,with high safety,is recommended to be widely used in clinic.
