无痛胃镜在尿毒症患者中的应用

The Application of Painless Gastroscope in Uremic Patients

目的:探讨用小剂量丙泊酚在尿毒症患者行无痛胃镜的安全性及可行性;方法:随机选择100例尿毒症患者分为两组,观察组行无痛胃镜,对照组行常规胃镜:分别观察记录检查前、插管时、检查2分钟时及检查后的收缩压(SBP)、心率(HR)、血氧饱和度(SPO_2)、呼吸频率(RR)、检查效果及肾功能变化。结果:观察组检查效果与对照组有显著性差异(P<0.01).HR,SBP,SPO2,RR用药前后无显著性差异(P>0.05)。结论:在尿毒症患者中采用小剂量丙泊酚的无痛胃镜更有利于呼吸循环的稳定及检查效果更佳。

Objective： To research the safety and feasibility of painless gastroscope with small doses of Propofol in Uremic patients; Method： 100 randomly selected patients with uremia were divided into two groups, the observer Group to pairdess gastroscope, the control group to conventional endoscopy, Inspection records were observed before mtubation, inspection and examination at two minutes after the systolic blood pressure （SBP）, heart rate （HR）, oxygen saturation （SPO2）, the respiratory rate （RR）, inspection results and renal function. Results： The observer group inspection results with the control group there were significant differences （P〈0.01）, HR,SBP,SPO2,RR medication was no significant difference （P〉0.05）.Condusions： In patients with uremia in a small dose of propofol painless gastroscope more conducive to the stability and respiratory and circulatory better inspection results.