摘要
目的:研究咪达唑仑在清醒镇静胃镜下的效果、安全性,并与异丙酚联合芬太尼的镇静效果作出对比。方法:对本院消化内科门诊接受清醒镇静胃镜检查患者249名,随机分为两组,咪达唑仑组(A组)及异丙酚联合芬太尼组(B组),以检查期间MAP、HR、SpO2、苏醒时间及检查后患者满意情况进行评价,分析应用效果、患者满意度及费用对比。结果:A、B两组检查中MAP、HR、SpO2均有下降,但B组下降更为明显(P<0.01);A、B组患者中分别有71.8%及81.6%患者表示有意接受再次检查;A组患者较B组苏醒时间长,组间比较有差异;A组检查费用明显低于B组。结论:清醒镇静内镜检查对医患双方均有益处,咪达唑仑在清醒镇静胃镜中安全易操作,且费用低廉。
Objective：To expore the safety and efficacy of midazolarn on gastroscopy under conscious sedation and compare it with propofol combined with fentanyl. Methods： 249 cases performing gastroscopy under conscious sedation in out - patient clinic were randomly divided into two groups： group A with midazolarn and group B with propofol and fentanyl. The levels of MAP, HR, SpO2 and recovery time and degree of satisfaction were evaluated during examination. The applicated effect , degree of satisfaction and cost were analyzed and compared. Results： The levels of MAP, HR and SpO2 decreased in both groups, specially in group B（P 〈 0.01）. 71.8 % of cases in group A and 81.6 % of cases in group B were content to reexamination. In group A, the recovery time was longer and cost was lower than that in group B. Conelusion：Gastroscopy under conscious sedation is benefit for both patients and medicians, Midazolam is safe, simple and cheap for conscious sedation.
出处
《内蒙古医学杂志》
2008年第6期683-685,共3页
Inner Mongolia Medical Journal
