咪达唑仑、芬太尼及阿托品联合应用于肠镜检查的临床观察

THE CLINICAL OBSERVATION OF ORDINARY COLONOSCOPY USING MIDAZOLAM ANESTHESIA COMPOUND WITH FENTANIL-ATROPINE

目的通过对咪达唑仑、芬太尼及阿托品应用于肠镜检查的临床观察,评价无痛肠镜检查的安全性和实用性。方法咪达唑仑、芬太尼及阿托品联合静脉麻醉下行肠镜检查150例(无痛组),肠镜检查中观察患者对肠镜检查的感受及生命体征的变化,并与同期常规普通肠镜检查150例(对照组)进行比较。结果与对照组相比,无痛组难以耐受和明显不适的比例明显减少,生命体征参数波动明显减小,差异有统计学意义(p<0.05)。结论咪达唑仑、芬太尼及阿托品联合应用于无痛肠镜检查是一种安全、实用、舒适的现代内镜诊治手段,值得临床推广应用。

Objective To assess the safety and availability of painless colonoscopy through the clinical ob- servation of ordinary colonoscopy using midazolam anesthesia compound with fentanil - atropine. Methods 150 pa- tients （ painless group） undergo painless colonoscopy using midazolam anesthesia compound with fentanil - atropine. Observe the feeling of the patients and the change of vital signs in the colonoscopy checking comparing with 150 pa- tients （control group） in the conventional ordinary colonoscopy. Results The patients who undergone painless c01onoscopy after using midazolam anesthesia compound with fentanil - atropine felt better and the vital signs more smoothly than those without using anesthetic. The difference have statistical significance （p 〈 0.05 ）. Conclusion Painless colonoscopy is a kind of safe, practical and comfortable modem endoscopy technology. It is worthy of using widely.