利多卡因胶浆联合静脉全麻用于胃镜检查的临床分析

Lidocaine Combined with Intravenous Anesthesia for Gastroscopy Analysis

目的探析利多卡因胶浆联合静脉全麻用于胃镜检查的临床效果。方法以该院2015年2月—2016年2月收治的119例进行胃镜检查的患者随机分成对照组(59例)和观察组(60例),分别采用单纯静脉麻醉、利多卡因凝胶联合静脉全麻,对比麻醉效果。结果观察组发生体动率、呛咳率分别为5.0%、0.0%,低于对照组的35.6%、15.3%,组间差异有统计学意义(P<0.05);观察组血氧饱和度、血压、心率异常波动发生率分别为8.33%、11.67%、5.0%,显著低于对照组的22.03%、20.34%、16.95%(P<0.05),观察组患者丙泊酚用药量为(98.61±5.04)mg,显著小于对照组的(131.89±8.17)mg,差异有统计学意义(P<0.05)。结论利用利多卡因胶浆联合静脉全麻方式实施胃镜检查,麻醉效果好,安全性高。

Objective To analyze the combined Lidocaine Hydrochloride Mucilage intravenous general anesthesia in gastroscopy. Methods In our hospital from February 2015 to February 2016, 119 cases of patients with gastroscopy were randomly divided into control group(59 cases) and observation group(60 cases). The former used the simple intravenous anesthesia, the latter used lidocaine gel combined intravenous anesthesia, then compared the anesthesia effect. Results In the observation group, the rate of body movement and cough were 5.0% and 0.0% respectively,lower than the control group of 35.6%, 15.3%, difference between the two groups were significant(P<0.05);And in observation group, blood oxygen saturation, blood pressure, heart rate abnormal fluctuations were 8.33%, 11.67%, 5.0% significantly lower than the control group of 22.03%, 20.34%, 16.95%(P<0.05). Patients in the observation group propofol dosage for(98.61±5.04)mg, significantly less than the control group(131.89±8.17)mg, the difference was statistically significant(P <0.05). Conclusion In the gastroscopy, the use of Lidocaine Hydrochloride Mucilage hydrochloride mucilage combined with intravenous anesthesia gastroscopy, anesthetic effect, safety.