老年无痛胃镜术中地佐辛复合丙泊酚麻醉的使用效果

Anesthesia effect of applying dezocine combined with fentanyl and propofol to the painless gastroscopy surgery in elderly patients

目的:研究老年无痛胃镜术中地佐辛复合丙泊酚麻醉的使用效果。方法:随机选取2014年2月至2016年2月我院收治的60例行无痛胃镜术的老年患者,根据患者入院先后顺序把60例患者分成对照组与试验组,每组各30例。对照组静脉注射芬太尼,试验组静脉注射地佐辛,两组患者均注射丙泊酚,对丙泊酚用量、患者苏醒时间及术后VAS评分、不良反应等情况对两组进行对比。结果:试验组丙泊酚用量,苏醒时间均比对照组低,两组对比具有统计学意义(P<0.05);两组意识消失时间、VAS评分、不良反应等情况比较差异无统计学意义(P>0.05)。结论:老年无痛胃镜术中应用地佐辛复合丙泊酚麻醉效果确切,可以减少丙泊酚的用量,还能缩短患者苏醒时间,未见明显的不良反应。

Objective： To study the anesthesia effect of dezocine combined with fentanyl and propofol on elderly patients during gastroscopy surgery. Methods： 60 elderly patients admitted in our hospital from Feb. 2014 to Feb. 2016 underwent painless endoscopic surgery were analyzed, and they were randomized into the control group and the experiment group with 30 case in each group in terms of the time they were admitted into the hospital. The control group were intravenously injected with fentanyl on the basis of propofol, while the experimental group were intravenously injected with dezocine on the basis of propofol. Then the propofol dosage, patient recov- ery time and postoperative VAS score, adverse reactions, etc. for patients in both groups were compared. Results： The dose of propofol and recovery time in the experimental group were lower than those of the control group, which were of statistical differences （P 〈 0.05）; there were no significant differences of the unconsciousness time, VAS score, adverse reactions, etc. between both groups （P 〉 0.05）. Conclusion： The anesthesia effect with dezo- cine combined with propofol and fentanyl is effective in ederly painless gastroscopy surgery. The reduced dose of propofol will shorten the patients＇ time of awakening. Furthermore, there will be no obvious adverse reaction.