静脉全麻在上消化道内镜检查与治疗中的应用

Application of intravenous anesthesia in examination and treatment by gastroscopy

目的:研究应用双异丙酚(丙泊酚)在胃镜检查和治疗中的镇静、镇痛效果和安全性。方法:将232例胃镜检查病人随机分为Ⅰ组98例,给予丙泊酚静脉缓推至病人入睡且睫毛反射消失、呼吸平稳,Ⅱ组(对照组)134例,常规操作,不给镇静镇痛药,观察各组检查反应、操作时间、清醒时间及检查前、中、后BP、HR和SpO2变化。结果:Ⅰ组的检查反应、操作时间明显优于Ⅱ组(均为P<0.005),Ⅰ组病人的清醒时间5～10分钟。Ⅰ组病人检查中均有血压下降和心率减慢,但检查结束后恢复至检查前水平。结论:胃镜检查前应用丙泊酚镇静、镇痛是安全有效的,可以消除病人对胃镜检查及治疗的恐惧心理、剧烈呕吐,使检查治疗能顺利完成,同时可以缩短操作时间。

Objective：To investigate the effect and safety of calmness and analgesia for intravenous anesthesia in examination and treatment by gastroscopy. Methods：232 patients for gastroscopy were randomized into test group （98 cases were treated by intravenous anesthesia in order to be asleep even lose eyelash-reflex but breathe calmly） and the control （134 were teated by routine examination without analgesia）.Results： In test group ,there were less bad reflection.shorter time in operation. And the time to awake test group was only 5-10 minutets. Though blood pressure decline and heart beat decrease existed in all of test group while examination process, the patients can restore the same state as before. Conclusion：Before gastroscopy, intravenous anesthesia is safe and effective. It can eliminate the patients terrified feeling for gastroscopy examination and treatment,prevent vomiting ,then examination and treatment can be accomplished. At the same time, operational time shortened.