摘要
目的比较麻醉和镇静术对接受结肠镜检查患者的安全性及治疗效果。方法 225例于我院行结肠镜检查的患者,随机接受丙泊酚伍用芬太尼麻醉或咪唑安定清醒镇静诊疗,比较两组患者结肠镜检查过程中血压、心率、血氧饱和度变化情况及呻吟、肢动等不良反应,并追踪观察患者术后清醒时间及不良事件的发生率。结果麻醉组患者呻吟、肢动发生率显著低于清醒镇静组;清醒镇静组血压、心率、血氧饱和度下降显著低于麻醉组。两组患者给药时间、术中及术后不良事件的发生率无显著差异。结论麻醉及清醒镇静术均可有效缓解结肠镜检查所致的不良反应,无严重不良事件发生。
Objective This study was to compare the safety and efficacy of anesthesia or conscious sedation on colonial endoscopy examination. Method Totally ,225 patients who accepted colonial endoscopy examination were invoved in the stud- y. The patients randomly accepted anesthesia （ II group） or conscious sedation （ I group） before the colonial endoscopy. The change of blood pressure （BP） , heart rate （HR） , oxygen saturation （SPO2 ） and murmuring were investigated during the exami- nation. The adverse event after the examination was also followed. Results （ 1 ） The patients in I] group showed lower inci- dence rate of murmuring than that in I group. （2） The patients in I group showed lower incidence rate of BP and HR decrease than that in II group. （3）Both group showed no severe adverse event during and after the colonial endoscopy examination. Conclusion Both anesthesia and conscious sedation are safe and can be used in colonial endoscopy examination effectively.
出处
《临床消化病杂志》
2012年第3期172-174,共3页
Chinese Journal of Clinical Gastroenterology
关键词
麻醉
清醒镇静
结肠镜
Anesthesia
Conscious sedation
Colonial endoscopy
