瑞芬太尼复合丙泊酚用于无痛结肠镜检查的临床观察

Clinical observation of remifentanil combined with propofol used for painless colonoscope

目的:观察比较芬太尼与瑞芬太尼复合丙泊酚用于无痛结肠镜检查时的麻醉效果。方法:120例22～70岁患者随机分为F(芬太尼)组、R(瑞芬太尼)组,均复合丙泊酚麻醉。记录术中并发症及处理,丙泊酚诱导及维持剂量,诱导时间、苏醒时间及离开检查室时间。结果:两组体动发生率、丙泊酚维持剂量、苏醒时间、离开检查室时间比较差异有统计学意义(P均<0.05)。结论:瑞芬太尼复合丙泊酚应用于无痛结肠镜检查镇痛、镇静效果好,苏醒时间短,更为安全。

Objective： Observe and compare the anesthesia effect of remifentanil combined with propofol used for painless colonoscope. Methods： 120 patients in ages between 22-70 years old were randomly divided into F（Fentanyl） group and R（Remifentanil） group. Both are complex propofol anesthesia, record the intraoperative complications and solutions, propofol induction and maintenance dose, induction time, recovery time, and the time when leaving inspection room. Results： There were significant in the rate of limb movement between the two groups, propofol maintenance dose, recovery time and the time when leaving inspection room. Conclusion： Remifentanil propofol composite painless colonoscopy used analgesic, sedative effect, and regained consciousness, shorten the recovery time and more secure.