摘要
目的探讨瑞芬太尼复合丙泊酚静脉麻醉在无痛胃镜检查中的可行性。方法将按美国麻醉医师协会(ASA)体格情况分级Ⅰ~Ⅱ级行胃镜检查的患者100例,随机分为2组:Ⅰ组50例,瑞芬太尼复合丙泊酚麻醉,静脉注射瑞芬太尼0.5μg/kg及丙泊酚1.0mg/kg;Ⅱ组50例,芬太尼复合丙泊酚麻醉,静脉注射芬太尼0.5μg/kg及丙泊酚1.0mg/kg,比较两组患者的苏醒时间、离院时间以及丙泊酚的用量。结果Ⅰ组丙泊酚的用量少于Ⅱ组(P〈0.01),Ⅰ组的苏醒时间短于Ⅱ组(P〈0.01),Ⅰ组的离院时间早于Ⅱ组(P〈0.01)。结论瑞芬太尼复合丙泊酚用于胃镜检查是一种安全、苏醒时间短、离院时间早的麻醉方法,并可减少丙泊酚的用量。
Objective To explore the feasibility and safety of propofol combined with remifentanil in intravenous anesthesia for gastroscopy. Methods Total 100 patients with ASA( american society of anesthesiologists)Ⅰ - Ⅱ were divided into 2 groups randomly: group Ⅰ ( propofol combined with remifentanil), group Ⅱ ( propofol combined with fentanyl ). Results The anesthesia effects of two groups were similar. However, the awake time and the discharge time of group Ⅰ were significantly more shorter than group Ⅱ (P 〈0. 01 ). Conclusion The propofol combined with remifentanil gives effective anesthesia and better recovery intravenous anesthesia for gastroscopy.
出处
《局解手术学杂志》
2008年第2期82-83,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
丙泊酚
瑞芬太尼
静脉麻醉
胃镜
propofol
remifentanil
intravenous anesthesia
gastroscopy