丙泊酚联合芬太尼用于老年人无痛胃镜280例结果分析

Painless gastroscopy examination with propofol and fentanyl:An analysis of 280 old patients

目的探讨应用丙泊酚联合芬太尼全身麻醉下进行老年人无痛胃镜检查的安全性和有效性。方法选取老年受检者138例,老年前期受检者142例作为对照,均在丙泊酚联合芬太尼静脉麻醉下完成胃镜检查。对比两组检查的安全性、有效性以及麻醉药物使用剂量。结果全部受检者麻醉胃镜检查均完成。两组受检者均未出现严重不良反应,在麻醉过程中两组受检者均出现心率及血压短暂下降(迅速自行恢复),给药前后比较无显著统计学意义(P>0.05);而血氧饱和度在两组中均无明显波动,组间对比及前后对比均无统计学意义(P>0.05)。操作后总体满意度分别为老年组100%、老年前期组97.18%。两组麻醉药物剂量比较,老年前期组受检者丙泊酚用量大于老年组(P<0.05),而两组芬太尼用量差异无统计学意义(P>0.05)。结论应用丙泊酚联合芬太尼全身麻醉下进行老年人无痛胃镜检查的安全性和有效性均令人满意。

Objective To study the safety and effcectiveness of appiication of minidosage propofol and fentanyl in gastroscopy examination on old patients. Methods The total 280 cases were indvided into the old age group and the younger group.Both groups were injected propofol and fentanyl in gastroscopy examinati0nl The safety and effcective were be observed during the operation. Results All of cases underwent gastroscopy examination successfully without special adverse reaction. The blood pressure and heart rate declined in both groups, however the symptoms were slight and transient which did not need special treatments. The comfortable rates of the old age group and the younger group were 100% and 97.18% respectively. The dose of propofol in the old age group was highter than that of the younger group （P 〈 0.05）, while there were no significant differences in fentanyl and serum oxyen saturation （P 〉 0.05）. Conclusion Analgesic gastroscopy examination in old people with minidosage propofol and fentanyl is a safe and effective sedation method.