小剂量芬太尼用于无痛胃镜检查的临床研究

Small dose of fentanyl used in painless gastroscopy of clinical research

目的：探讨小剂量芬太尼在无痛胃镜检查中的临床麻醉效果。方法：对我门诊进行无痛胃镜检查的80例患者资料进行分析，将患者按照治疗时间分为实验组和对照组。对照组采用丙泊酚麻醉，实验组在对照组基础上联合小剂量芬太尼，比较2组麻醉效果。结果：实验组镇痛起效时间为0．4±1．6分，低于对照组（P＜0．05）；实验组VAS评分在5分钟时为7．2±2．1、90分钟时为2．2±1．5和对照组相比差异显著（P＜0．05）；实验组4例痛苦反应，患者手术时间为4．25±1．28分钟，患者手术后5．58±1．73分钟清醒，对我院检查均比较满意高于对照组。结论：在无痛胃镜检查中采用小剂量芬太尼麻醉效果较好，值得推广使用。

Objective：To study the small dose of fentanyl in the effectiveness of clinical anesthesia in painless gastroscopy .Methods：to my clinic data of 80 patients of painless gastroscopy were analyzed , and the patients in accordance with the treatment time could be divided into the experimental group and control group .Control group using propofol anesthesia , the experimental group on the basis of the control in combination with small dose of fentanyl , comparing two groups of narcotic effect .Results：The analgesic effect of time was （0.4 ±1.6） lower than the control group （P 〈0.05）;Experimental VAS score in 5 min for （7.2 ±2.1）, and 90 min for （2.2-1.5） and the con-trol group when compared with significant difference （P〈0.05）;Experimental group 4 patients with pain response , surgery time was （4.25 ±1.28 min）, （5.58 ±1.73 min） after surgery in patients with conscious , satisfied with our inspection were relatively higher than the control group .Conclusion：in painless gastroscopy using small dose fentanyl anesthesia effect is good , should be worth pro-moting.