首页|瑞马唑仑与丙泊酚对结肠镜检查患者术后认知功能及恢复质量的影响:临床比较研究

瑞马唑仑与丙泊酚对结肠镜检查患者术后认知功能及恢复质量的影响:临床比较研究

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目的:探究瑞马唑仑与丙泊酚对结肠镜检查患者的术后认知功能及术后恢复质量的影响.方法:将 150例结肠镜检查患者随机分为P组和R组,各 75 例.P组采用丙泊酚麻醉,R组采用苯磺酸瑞马唑仑麻醉.比较两组麻醉及苏醒时间、脑电双频指数(BIS)值、认知功能[蒙特利尔认知评估(MoCA)量表]、不良反应.结果:R组麻醉起效、检查结束至苏醒时间短于P组;用药 5 min、置入肠镜时、置入肠镜 5 min、术毕时的BIS值以及苏醒时的MoCA量表评分均高于P组;不良反应发生率低于P组(P<0.05).结论:相较丙泊酚,瑞马唑仑用于结直肠镜检查患者的麻醉效果较好,且对患者BIS值及认知功能影响较小,更利于患者术后恢复,安全性较高.
Effect of remimazolam versus propofol on postoperative cognitive function and quality of recovery in colonoscopy patients:a comparative clinical study
Objective:To investigate the clinical effects of remimazolam and propofol on postoperative cognitive function and recovery quality in colonoscopy patients.Methods:One hundred and fifty patients undergoing colonoscopy were randomly divided into group P and group R,with 75 cases each.Group P was anesthetized with propofol,while group R was anesthetized with remimazolam benzenesulfonate.The time for anesthesia and awakening,bispectral index(BIS)value,cognitive function[Montreal cognitive assessment(MoCA)scale]and adverse reactions were compared between the two groups.Results:The onset of anesthesia and the time from the end of the examination to awakening were shorter,the BIS values at 5 min of medication,at the time of colonoscopy placement,at 5 min of colonoscopy placement,and at the end of the procedure,as well as the MoCA scale scores at the time of awakening were higher,and the incidence of adverse reactions was lower in the group R than the group P(P<0.05).Conclusion:Compared with propofol,remimazolam is more effective in anesthesia for patients with colonoscopy and has less effect on patients'BIS value and cognitive function,which is more conducive to patients'postoperative recovery and safer.

colonoscopyremimazolampropofolanesthesiacognitive functionadverse effects

李启东

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郑州市第三人民医院麻醉科 郑州 450099

结肠镜 瑞马唑仑 丙泊酚 麻醉 认知功能 不良反应

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(7)
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