异丙酚联合瑞芬太尼用于无痛胃镜检查的麻醉效果观察

The Effect of Propofol Combined with Remifentanil Anesthesia Applied Painless Gastroscopy

目的探讨异丙酚联合瑞芬太尼应用于无痛胃镜的麻醉效果。方法全部入选对象随机分为Ⅰ组(异丙酚)和Ⅱ组(异丙酚联合瑞芬太尼)各80例,比较两组检查前、检查中、检查后的心率(HR)、平均动脉压(MAP)的变化以及异丙酚总用量、苏醒时间、恶心、呕吐、呛咳、体动等不良反应情况。结果Ⅱ组在插镜中HR、MAP无明显变化,且异丙酚总用量明显少于Ⅰ组,Ⅱ组的苏醒时间明显短于Ⅰ组,Ⅱ组患者出现恶心、呕吐、呛咳、体动等不良反应明显少于Ⅰ组(P<0.05)。结论异丙酚联合瑞芬太尼应用于无痛胃镜检查的麻醉效果好,值得推广和应用。

Objective To investigate the effects of propofol combined with remifentanil anesthesia applied to painless gastroscopy. Methods All selected subjects were randomly divided into Group I （ propofol ） and Group II （ propofol combined with remifentanil ） of the 80 cases, application of statistical methods to compare the two groups before the inspection, examination, examination of the heart rate （ HR ）, mean arterial pressure （ MAP ） changes, and the total propofol consumption, recovery time, nausea, vomiting, cough, body movement and other adverse reactions. Results Group II in the mirror inserted HR, MAP no significant change, and the total amount of propofol group was significantly less than group I , group II was significantly shorter recovery time in group I , group II patients nausea, vomiting, cough, body movement and other adverse reactions than group I （P 〈 0.05 ）. Conclusion Propofol used remifentanil anesthesia painless gastroscopy good, worthy of promotion and application.