2种麻醉方法在无痛胃镜检查中的麻醉效果比较

史静; 邹小华; 蒋柯; 钟毅

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2种麻醉方法在无痛胃镜检查中的麻醉效果比较

论著_临床医学 | 更新时间：2021-08-23

- 2种麻醉方法在无痛胃镜检查中的麻醉效果比较
- Comparison of two anesthesia methods for painless gastroscopy
- 保健医学研究与实践 2018年15卷第1期页码：59-62
- 作者机构：
  
  贵州医科大学附属医院麻醉科
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R614
- 纸质出版日期：2018，
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[1]史静,邹小华,蒋柯,钟毅.2种麻醉方法在无痛胃镜检查中的麻醉效果比较[J].保健医学研究与实践,2018,15(01):59-62+67.

Shi Jing, Zou Xiaohua, Jiang Ke, et al. Comparison of two anesthesia methods for painless gastroscopy[J]. Health Medicine Research and Practice, 2018,15(1):59-62.
[1]史静,邹小华,蒋柯,钟毅.2种麻醉方法在无痛胃镜检查中的麻醉效果比较[J].保健医学研究与实践,2018,15(01):59-62+67. DOI：

Shi Jing, Zou Xiaohua, Jiang Ke, et al. Comparison of two anesthesia methods for painless gastroscopy[J]. Health Medicine Research and Practice, 2018,15(1):59-62. DOI：

摘要

目的比较丙泊酚复合芬太尼及丙泊酚复合瑞芬太尼在无痛胃镜检查中的麻醉效果。方法选取2016年1月-2017年1月于贵阳市某医院行无痛胃镜检查的600例患者为研究对象。采用随机数字表法将患者分为研究组与对照组

每组300例。对照组患者给予丙泊酚复合芬太尼进行麻醉;研究组患者给予丙泊酚复合瑞芬太尼进行麻醉。比较麻醉前、麻醉诱导2min及胃镜置入食道入口时2组患者的心率（HR）、收缩压（SBP）及舒张压（DBP）;比较2组患者胃镜检查操作时间、胃镜检查结束后麻醉持续时间、丙泊酚用药剂量、不良反应发生情况、麻醉效果及患者满意度。结果麻醉前

2组患者HR

SBP及DBP比较

差异无统计学意义（P>0.05）。麻醉诱导2min时

2组患者HR

SBP及DBP均低于麻醉前

差异均有统计学意义（P<0.05）。胃镜置入食道入口时

2组患者HR

SBP及DBP均高于麻醉前及麻醉诱导2min时

差异均有统计学意义（P<0.05）

而2组患者HR

SBP及DBP比较

差异无统计学意义（P>0.05）。研究组患者胃镜检查操作时间、胃镜检查结束后麻醉持续时间均短于对照组

差异均有统计学意义（P<0.05）。研究组患者丙泊酚的用药剂量少于对照组

差异有统计学意义（P<0.05）。研究组患者不良反应发生率低于对照组

差异有统计学意义（P<0.05）。2组患者麻醉效果达优率及满意度比较

差异无统计学意义（P>0.05）。结论瑞芬太尼复合丙泊酚用于无痛胃镜检查中的麻醉效果较好

其可降低致命性不良反应的发生率

保障患者安全

还能提高操作医师的工作效率

加快患者周转速度

提高医院经济效益

值得临床推广应用。

Abstract

Objective To compare the anesthetic effects of propofol+fentanyl versus propofol+remifentanil for painless gastroscopy.Methods A total of 600 patients who underwent painless gastroscopy in a Guiyang hospital from January 2016 to January 2017 were included in this study.Using a random number table

patients were divided into the trial group（propofol+remifentanil）and the control group（propofol+fentanyl）

300 patients in each group.The heart rate（HR）

systolic blood pressure（SBP）and diastolic blood pressure（DBP）before anesthesia

2 min after anesthesia induction and when the gastroscope was inserted into the esophagus were compared between the two groups.Besides

the operative duration

anesthetic duration after gastroscopy

dose of propofol

incidence of adverse events

quality of analgesia and patient satisfaction were also compared between the two groups.Results The HR

SBP and DBP were comparable between the two groups before anesthesia（P>0.05）.At 2 min after anesthesia induction

the HR

SBP and DBP were significantly lower than those before anesthesia in both groups（P<0.05）.When the gastroscope was inserted into the esophagus

the HR

SBP and DBP were significantly higher than those before anesthesia and 2 min after anesthesia induction in both groups（P<0.05）;but the HR

SBP and DBP were similar between the two groups（P>0.05）.The operative duration and anesthetic duration after gastroscopy were significantly shorter in the trial group compared with those in the control group（P<0.05）.The dose of propofol and the incidence of adverse events in the trial group were lower than those in the control group（P<0.05）.The quality of analgesia and patient satisfaction were comparable between the two groups（P>0.05）.Conclusion Remifentanil combined with propofol has a favorable anesthetic effect for painless gastroscopy

which may help to lower the incidence of fatal adverse events

improve the working efficiency of operative physicians

accelerate patient turnover

increase economic benefits.Thus

it is worthy of widespread clinical application.

关键词

无痛胃镜检查丙泊酚芬太尼瑞芬太尼

Keywords

Painless gastroscopypropofolFentanylRemifentanil

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