小剂量芬太尼复合丙泊酚在无痛胃镜检查中的应用

目的观察小剂量芬太尼复合丙泊酚应用于无痛胃镜检查安全性,有效性。方法观察240例应用小剂量芬太尼复合丙泊酚行无痛胃镜检查患者,麻醉前、镜检时、清醒后的R、HR、BP、SpO2,镜检时间,清醒时间及不良反应,检查结束后询问患者不适程度,是否愿意接受再次检查。结果 76例感觉注射部位疼痛,麻醉后所有患者HR、BP均出现小幅下降,检查结束后升至正常水平。35例患者SpO2下降至90%以下,经辅助呼吸后很快恢复。43例诉头晕,5例咳嗽,2例呃逆,2例躁动,1例全身大汗,所有不良反应均在30分钟内消失。213例患者对胃镜检查全过程无记忆,所有患者均表示可以接受再次胃镜检查。结论小剂量芬太尼复合丙泊酚应用于无痛胃镜检查安全、有效。

Objective To observe the small dose of fentanyl and propofol used in painless gastroscopy safety and effectiveness. Methods Observed 240 cases of low-dose fentanyl and propofol-line painless gastroscopy patients, before anesthesia, microscopic examination, conscious of the R, HR, BP, SpO2, examination time, recovery time and adverse reactions, after the examination, ask the patient not the degree of willingness to accept re-examination. Results of 76 cases of injection site pain felt, in all patients after anesthesia HR, BP both declined slightly, rose to normal levels after the inspection. 35 patients SpO2 decreased to 90% or less, the ventilation soon after recovery. 43 cases of dizziness, 5 patients with cough, 2 cases of hiccups, two cases of agitation, and 1 whole body sweat, all adverse reactions were 30 minutes away. 213 cases of patients with no memory of the whole process of gastroscopy, all patients could accept another gastroscopy. Conclusion Low-dose fentanyl and propofol used in painless gastroscopy is.safe and effective.