无痛胃镜单人操作132例临床分析

Assessment of analgesic gastroscopy performed by one person

目的：探讨单人无痛胃镜检查，使患者在胃镜检查、治疗中安全、舒适、无痛苦。方法：术前准备同普通胃镜外，还需配备心电监护仪、供氧设备、急救药品，简易球囊呼吸器和活动床等。先缓慢静脉注射芬太尼，再静脉注射丙泊酚2mg／Kg，待患者进入亚麻醉状态后立即行胃镜检查、治疗，术中应严密观察患者的生命体征和血氧饱和度，如患者在术中有躁动等反应，应适当追加丙泊酚0．5mg／kg。结果：患者在使用芬太尼和丙泊酚后3～5min内神志消失，停药5min左右逐渐苏醒，无严重的不良反应和并发症。结论：无痛胃镜检查是安全、舒适、可行的。

Objective： To investigate the feasibility and safety of analgesic gastroscopy performed by one operator. Methods： Besides the conventional preparations for gastroscopy, cardiac monitors, oxygen supplying device, emergency medicine, simple balloon respirators and bed were equipped for analgesic gastroscopy. In the procedure, fentanyl was infused slowly intravenously, propofol 2 mg/kg injected intravenously followed, gastroseopic procedure started as soon as the anesthesia worked. Vital signs and oxygen saturation of the patients were observed closely ; additional propofol 0.5 mg / kg was given appropriately on the condition that the patient appeared restless. Results： Patients became loss of consciousness 3 - 5 min after the use of and fentanyl and recovered consciousness gradually 5 min after stopping the drugs. There were no serious side effects and complications. Conclu sion： Analgesic gastroscopy performed by one operator is safe, comfortable and feasible.