丙泊酚复合瑞芬太尼靶控输注用于无痛胃镜下胃息肉切除术的临床观察

Clinical observation of target control infusion(TCI) of remifentanil for painless gastroscopy stomach polypus resection

目的观察比较丙泊酚TCI和丙泊酚复合瑞芬太尼TCI两种麻醉方法用于临床无痛胃镜下胃息肉切除术的可行性,探讨更为安全有效的麻醉用药方法。方法将150例无痛胃镜下胃息肉切除术患者随机分为观察组和对照组各75例,观察组采用静脉丙泊酚复合瑞芬太尼TCI方法实施麻醉,对照组采用静脉丙泊酚TCI方法实施麻醉。结果观察组的镇痛效果明显好于对照组,诱导时间明显短于对照组,差异有统计学意义(P<0.05)。结论瑞芬太尼联用丙泊酚TCI麻醉比单纯丙泊酚TCI麻醉的诱导更快,镇痛镇静效果更好。

Objective To observe the anesthesia effect of propofol and propofol combined with remifentanil （TCI） two anes- thesia methods used in clinical painless gastroscopy in gastric polyp resection, to explore a more safe and effective anes- thesia method. Methods All of 150 cases of painless gastroscopy stomach polypus resection were randomly divided into the observation group and the control group with 75 cases in each group. The observation group intravenous propofol combined with remifentanil TCI method, the control group used intravenous propofol TCI method. Results Observation on the anal- gesic effect was better than that of the control group. Conclusion Remifentanil combined with propofol than propofol in- duced faster, analgesic and sedation effect is better.