三种不同咽部麻醉方法对胃镜检查患者麻醉效果的研究

Study of three different anesthesia methods on the anesthetic effects of patients undergoing gastroscopy

目的：观察不同咽部麻醉方法对胃镜检查患者的麻醉效果。方法选择本院2013年5月至2013年7月行胃镜检查患者318例，随机分为3组，对照组106例，观察1组106例，观察2组106例。对照组使用传统方法即利多卡因胶浆1支含服。观察1组利多卡因胶浆含服后5分钟咽部喷洒1%的丁卡因10～15次。观察2组利多卡因胶浆含服后5分钟咽部喷洒1%的丁卡因10～15次，5分钟再次喷洒1%的丁卡因10～15次。结果患者不适反应发生率对照组与观察组差异明显（P＜0.05），对照组不适症状明显高于观察组。结论胃镜检查患者两种药物联合应用麻醉效果好，可极大减少患者不适反应。

ObjectiveTo observe the effects of different anesthesia. Methods on anesthesia of patients undergoing gastroscopy.MethodsFrom May 2013 to July 2013, 318 patients in our hospital performing gastroscopy were randomly divided into 3 groups with 106 persons in each group. The control group used lidocaine hydrochloride mucilage for pharyngeal anesthesiae. Group 1 was administered with 1% tetracaine 10~15 times in addition to lidocaine buccal pharyngealspraying. Group 2 was administered with 1% tetracaine 10~15 times two times in addition to lidocaine buccal pharyngealspraying.ResultsThe occurrence of discomfort reaction were much lower in group 1 and group 2 comparing with the control group （P〈0.01）. ConclusionsThe combined application of the two drugs showed better anesthetic effects in patients undergoing gastroscopy, which could reduce discomfort reaction.