无痛胃镜检查中丙泊酚联合芬太尼的麻醉效果研究

Research of anesthetic effect by propofol combined with fentanyl for anesthesia in painless gastroscopy

目的探讨无痛胃镜检查中丙泊酚联合芬太尼的麻醉效果。方法 200例接受电子胃镜检查患者,通过随机数字表法分为观察组和对照组,每组100例。观察组患者使用丙泊酚联合芬太尼麻醉后予以检查,对照组患者口服利多卡因胶浆后予以检查。对两组患者在检测过程中所发生的不良反应进行记录比较。结果观察组咳嗽、恶心呕吐、头晕、躁动的不良反应总发生率14.00%明显低于对照组69.00%,两组比较差异具有统计学意义(P<0.05)。结论在无痛胃镜检查中使用丙泊酚联合芬太尼进行麻醉,效果优异,可减少不良反应的发生,帮助患者舒适安全的完成检测,值得在临床上进行应用推广。

Objective To investigate anesthetic effect by propofol combined with fentanyl for anesthesia in painless gastroscopy. Methods A total of 200 patients receiving electronic gastroscopy were divided by random number table into observation group and control group, with 100 cases in each group. The observation group received propofol combined with fentanyl for anesthesia before examination, and the control group received oral administration of lidocaine mucilage instead. Adverse reactions during examination in both groups were recorded for comparison. Results The observation group had obviously lower total incidences of adverse reactions of cough, nausea and vomiting, dizziness and dysphoria as 14.00% than 69.00% in the control group. Their difference had statistical significance（P〈0.05）. Conclusion Implement of propofol combined with fentanyl for anesthesia in painless gastroscopy shows excellent effect. This method can reduce adverse reactions and provide confotable and safe examination, and it is worth clinical application and promotion.