小剂量芬太尼用于无痛胃镜检查的临床效果分析

目的观察小剂量芬太尼用于无痛胃镜检查的临床效果。方法选取2006年1月～2009年6月收治的216例无痛胃镜检查患者随机分为观察组(小剂量芬太尼+丙泊酚组)和对照组(单纯丙泊酚组)各108例,观察比较两组患者的麻醉效果。结果两组患者均成功实施胃镜检查,观察组与对照组手术时间、术后清醒时间比较均无明显差异(P>0.05),但术中痛苦反应次数及患者满意度比较均有明显差异(P<0.05),具有统计学意义。结论小剂量芬太尼可提高无痛胃镜的麻醉效果,降低术中痛苦反应次数,提高患者满意度,值得临床推广使用。

Objective To observe the small dose of fentanyl used in the clinical effect of painless gastroscopy. Methods in our hospital from January 2006～June 2009 216 patients were treated painless gastroscopy were randomly divided into two groups （small dose of fentanyl in the propofol group） and control group （treated with propofol） of the 108 cases,patients were observed and compared the anesthetic effect. Results The patients were successfully implemented endoscopy in the observation group and control group operative time,postoperative recovery time showed no significant difference （P0.05）,but the number of patients in the pain response and patient satisfaction were significantly different compared （P 0.05）,with statistical significance. Conclusion Small dose fentanyl anesthesia can increase the effect of painless gastroscopy reduce the number of patients in the pain response,improve patient satisfaction,is worthy of clinical use.