首页|环泊酚与丙泊酚在老年患者无痛胃镜检查中的效果比较分析

环泊酚与丙泊酚在老年患者无痛胃镜检查中的效果比较分析

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目的 探讨在老年患者进行无痛胃镜检查过程中采用环泊酚与丙泊酚的应用效果.方法 方便选取2022年7月—2023年7月在青岛大学附属泰安市中心医院接受无痛胃镜检查的104例老年患者为研究对象,根据麻醉药物的不同将其分成丙泊酚组(n=52)和环泊酚组(n=52),对比两组麻醉指标(诱导、插镜、检查、清醒、定向力恢复、离室时间以及药物使用剂量)、不同时间点血流动力学指标[心率(Heart Rate,HR)、平均动脉压(Mean Arterial Pressure,MAP)及血氧饱和度(Saturation of Peripheral Oxygen,SpO2)]、不良反应发生率.结果 两组诱导时间、插镜时间、检查时间、定向力恢复时间比较,差异无统计学意义(P均>0.05);相比较丙泊酚组,环泊酚组清醒时间(2.68±0.57)min、离室时间(6.37±0.87)min均较短,药物使用剂量(45.85±3.67)mg较少,差异有统计学意义(t=4.029、6.769、56.047,P均<0.05).两组不同时间点心率变化比较,差异无统计学意义(P>0.05);两组平均动脉压在检查前(T1)检查结束即刻(T2)均有所下降,清醒时(T3)有所上升,两组不同时间点的平均动脉压比较,差异无统计学意义(P均>0.05).环泊酚组不良反应发生率低于丙泊酚,差异有统计学意义(P<0.05).结论 在无痛胃镜检查中采用丙泊酚与环泊酚均有较好的麻醉效果,麻醉满意度较高,而环泊酚在检查过程中对血氧饱和度影响较小,且不良反应较少,与丙泊酚相比安全性更好.
Comparative Analysis of the Effect of Ciprofol and Propofol in Painless Gastroscopy in Elderly Patients
Objective Exploring the effectiveness of using cyclophenol and propofol during painless gastroscopy in el-derly patients.Methods 104 elderly patients who underwent painless gastroscopy in Tai'an Central Hospital Affili-ated to Qingdao University from July 2022 to July 2023 were conveniently selected as the study subjects,They was divided into propofol group(n=52)and cyclofol group(n=52),Two groups of anesthesia index(induction,insertion,examination,awake,directional force recovery,chamber time,and drug dose),and hemodynamic indicators at differ-ent time points[heart rate(HR),mean arterial pressure(MAP)and saturation of peripheral oxygen SpO2)],the inci-dence of adverse reactions.Results There was no statistically difference in induction time,insertion time,examination time and orientation recovery time between the two groups(all P>0.05).Compared with the propofol group,the awake time[(2.68±0.57)min]and the time of leaving the room[(6.37±0.87)min]in the propofol group were shorter,and the dose of the drug[(45.85±3.67)mg]was less,the differences were statistically significant(t=4.029,6.769,56.047,all P<0.05);There was no statistically significant difference in heart rate between the two groups at different time points(all P>0.05),the mean arterial pressure of the two groups decreased at before examination(T1)and immediate end of examination(T2),and increased at make fulness(T3),there was no statistically significant difference in mean arterial pressure between the two groups at different time points(all P>0.05).The incidence of adverse reactions in the cyclo-pol group was lower than that in the propofol group,the difference was statistically significant(P<0.05).Conclusion Both propofol and cyclopol have good anesthesia effects in painless gastroscopy,and anesthesia satisfaction is high.However,cyclopol has a smaller impact on saturation of peripheral oxygen during the examination process,with fewer adverse reactions and better safety compared to propofol.

Painless gastroscopy examinationPropofolCyclopolHemodynamicsAdverse reactionsAnesthesia satisfaction

石敏、景卫、李红岩

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山东省泰安市肿瘤防治院麻醉科,山东 泰安 271000

青岛大学附属泰安市中心医院麻醉科,山东 泰安 271000

无痛胃镜检查 丙泊酚 环泊酚 血流动力学 不良反应 麻醉满意度

泰安市科技创新发展项目

2021NS243

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(17)