老年无痛胃镜检查中布托啡诺复合丙泊酚的疗效及安全性评价

Evaluation of the Efficacy and Safety of Butorphanol Combined with Propofol in Senile Painless Gastroscopy

目的:分析老年无痛胃镜检查中布托啡诺复合丙泊酚的疗效及安全性评价。方法:选择120例老年无痛胃镜检查患者进行临床研究,随机将患者分成两组,观察组(n=60)实施布托啡诺复合丙泊酚治疗,对照组(n=60)使用芬太尼复合丙泊酚予以治疗。对两组患者的麻醉效果及两组不良反应发生率进行比较。结果:观察组患者的麻醉苏醒、麻醉恢复、麻醉诱导、检查操作时间及丙泊酚用量少于对照组,差异有统计学意义(P<0.05);观察组不良反应率10.0%,小于对照组的18.3%,差异有统计学意义(P<0.05)。结论:应用布托啡诺复合丙泊酚用于老年无痛胃镜的临床检查中,能够提升患者临床中的麻醉效果,并减少患者不良反应的产生,具有较好的应用疗效及安全性,因此推广价值更高。

Objective： To analyze the efficacy and safety of Butorphanol combined with Propofol in senile painless gastroscopy.Method： 120 cases of elderly patients with painless gastroscopy for clinical study, patients were randomly divided into two groups, the observation group（n=60） used Butorphanol combined with Propofol treatment, the control group（n=60） used Fentanyl and Propofol treatment.The effects of anesthesia in two groups of patients and adverse reactions in two groups were compared.Result： The observation group of patients with anesthesia, recovery, induction time, check operation time, the dosage of Propofol were better than the control group, the adverse reaction rate of the observation group was 10.0%, was less than 18.3% of the control group, the differences were all significant（P〈0.05）.Conclusion： The application of Butorphanol combined with Propofol for painless gastroscopy in elderly clinical examination, can improve the treatment of patients with clinical anesthesia effect, and reduce the adverse reaction of the patient, have good application effect and safety, so the promotion value is higher.