在丙泊酚靶控输注麻醉下行无痛结肠镜检查

Nursing of Target-controlled Infusion of Propofol Combined Fentanyl in Patients Undergoing Intestinal Endoscopy

目的研究丙泊酚靶控输注进行无痛结肠镜麻醉对患者血流动力学及麻醉恢复的影响。方法非住院择期结肠镜受检者30例,采用靶控输注丙泊酚复合芬太尼(GT),监测并记录HR、SBP、MAP、SpO2、不良反应及离院时间等。结果患者的HR、SBP和MAP在检查中和检查结束时与检查前基础值相比均降低(P<0.01);术中低血压的发生率为6.67%,低氧的发生率为3.33%,心动过缓的发生率为6.67%;平均苏醒时间为(0.67±1.18)m in,平均离院时间为(20.80±4.96)m in。结论靶控输注丙泊酚能安全有效地应用于无痛结肠镜麻醉。

Objective To study the feasibility and safety of sedation with target controlled infusion （TCI） combined with fentanyl in patients undergoing intestinal endoscopy. Methods Totally 30 patients scheduled for intestinal endoscopy were assigned. Blood pressure, heart rate and oximetry were monitored, and SBP, MAP, HR and SpO2 were recorded. Parameters such as dosage of the drugs, time for induction, examination, recovery and discharge, complications of sedation such as hypotension, tachycardia, hypoxemia and postoperative complications were recorded. Results All patients were adequately sedated. Compared with the basal level, HR and MAP decreased （ P 〈 0.01 ）. The incidence of hypotension was 6.67 %. Time for recovery was （0.67 ± 1. 18） rain and discharge time was （20.80 ±4.96） rain. Conclusion For patients undergoing intestinal endoscopy, sedation with target controlled infused propofol combined with fentanyl is feasible and safe.