异丙酚麻醉在纤维胃镜检查中的应用效果及安全性

目的探讨异丙酚麻醉在纤维胃镜检查中的应用效果及安全性。方法选取128例患者,将其分为两组,分别给予其异丙酚麻醉和2%盐酸利多卡因麻醉,并对患者检查前、检查中及检查后5 min的血氧饱和度(SpO2)、心率(HR)、舒张压(DBP)及收缩压(SBP)变化进行对比。结果两组患者检查前各项数据均无较为明显的差异,SpO2检查中与检查后均平稳;观察组检查中和检查后HR未变化,DBP和SBP检查中下降,检查后回升。对照组检查中,HR、DBP和SBP均上升,检查后HR、DBP和SBP下降。观察组中5例咽喉不适,2例咳嗽,3例躁动,6例恶心呕吐;对照组中23例咽喉不适,13例咳嗽,11例躁动,24例恶心呕吐;观察组中无难以忍受,明显不适仅1例,7例轻微不适,56例无任何不适感;对照组中7例难以忍受,14例明显不适,35例轻微不适,仅有1例无任何不适感。结论异丙酚是临床纤维胃镜检查过程中较常使用的麻醉药物,其具有见效快,作用时间短,安全性较高等特点,是一种纤维胃镜检查中较为理想的麻醉药物。

Objective To investigate the clinical effect and safety of propofol anesthesia in gastroscopy. Methods To choose 128 patients from patients, divided into two groups, respectively given propofol anesthesia and 2%lidocaine anesthesia, and the patients before the examination, examination of blood oxygen saturation in the 5 min check and inspection after （SpO 2）, heart rate （HR）, diastolic blood pressure （DBP） and systolic blood pressure （SBP） were compared. Results The observation group of patients the smaller, less adverse reactions, higher safety, comfort higher;Conclusion Isopropyl phenol is used long clinical anesthetic gastroscopy in the process,it has the advantages of quick effect,short duration of action,safety higher characteristic,is the ideal anesthetic drugs a fiber gastroscopy.