清醒健忘镇痛加表面麻醉在胃镜诊疗中的应用

Application of analgesic and amnestic anesthesia during gastroscope

目的探讨清醒健忘镇加表面痛麻醉在胃镜诊疗中的临床应用。方法选择拟行胃镜检查的患者120例，随机分为清醒健忘镇痛加表面麻醉组（观察组）和无痛胃镜组（对照组）。记录诱导各时点的血压（BP）、心率（HR）的变化，观察胃镜检查过程及术后情况。结果两组各个时间段BP和HR差异均无统计学意义（均P〉0．05），观察组苏醒时间[（1．43±2．67）min]、丙泊酚总量[（34．45±11．12）mg]明显低于对照组[（5．34±0．82）min、（92．53±13．67）nag]（均P〈0．05），并且观察组不良反应发生比例明显低于对照组（P〈0．05）。结论清醒健忘镇痛加表面麻醉在胃镜诊疗中应用，可控性好，不良反应少，值得临床推广。

Objective To explore the clinical application of analgesic and amnestic anesthesia during gastro- scope. Methods 120 patients underwent gastroscopy in our hospital were randomly divided into conscious amnesia, analgesia group （experimental group） and painless gastroscopy group（ observation group）. Induction time recording blood pressure （BP）, heart rate （HR） changes, observed gastroscopy procedure and postoperative condition. Results Two groups of patients with BP and HR in each time period, there were no significant differences between them （P 〉 0.05 ） , and the recovery time of the experimental group （ 1.43 ± 2.67 ） min was significantly lower than that of the control group （5.34 ± 0.82）rain ,propofol total experimental group （34.45 ± 11.12）mg was significantly lower than the control group （92.53 ± 13.67 ） rag, the difference was significant （ P 〈 0. 05 ）, and the experimental group the adverse reaction ratio was significantly lower than the observation group ,the difference was significant （P 〈 0.05 ）. Conclusion Analgesic and amnestic anesthesia during gastroscope had good controllability, fewer adverse re- actions, worthy of clinical application.