山西卫生健康职业学院学报2024,Vol.34Issue(2) :88-90.

无痛胃肠镜检查患者麻醉方案选择的差异

The difference of anesthesia protocol selection in patients with painless gastroenteroscopy

杨翠 蔡亚阁 邢楠楠 张凌
山西卫生健康职业学院学报2024,Vol.34Issue(2) :88-90.

无痛胃肠镜检查患者麻醉方案选择的差异

The difference of anesthesia protocol selection in patients with painless gastroenteroscopy

杨翠 1蔡亚阁 1邢楠楠 1张凌1
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作者信息

  • 1. 郑州大学第一附属医院,河南郑州 450000
  • 折叠

摘要

目的:探讨无痛胃肠镜检查患者麻醉方案选择的差异.方法:选取62例于接受无痛胃肠镜检查的患者作为研究对象,随机分成两组,一组31例接受丙泊酚进行麻醉;31例使用丙泊酚联合右美托咪啶进行麻醉.两组均观察至检查结束.比较两组麻醉质量,检查前后收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SpO2)、平均动脉压(MAP)、不良反应发生情况.结果:与对照组相比较,观察组患者麻醉质量更好,与检查前相比较,检查后两组患者SBP、DBP、SPO2、MAP水平均呈现降低趋势,但观察组高于对照组,HR均呈现升高趋势,但观察组低于对照组(P<0.05).结论:右美托咪定复合丙泊酚可以改善无痛胃肠镜检查患者的生命体征,提高麻醉质量,且安全性更高.

Abstract

Objective To explore the difference of anesthesia protocol selection in patients with painless gastroen-teroscopy.Methods A total of 62 patients who received painless gastroenteroscopy in our hospital were included in this study.The selected cases were completed from May 2021 to October 2022.They were randomly divided into two groups.In one group,3 1 patients received propofol for anesthesia(the control group).One group of 31 patients was anesthetized with propofol combined with dexmedetomidine(the observation group).Both groups were observed until the end of the examination.The quality of anesthesia,systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),oxygen saturation(SpO2),mean arterial pressure(MAP)before and after examination and the occurrence of adverse reactions were compared between the two groups.Results Compared with the control group,patients of the observation group had better anesthesia quality.Compared with before examination,after ex-amination,the levels of SBP,DBP,SPO2 and MAP of two groups showed a decreasing trend,but the observation group was higher than the control group,and the HR showed an increasing trend,but the observation group was lower than the control group(P<0.05).Conclusion Dexmedetomidine combined with propofol can improve the vital signs of patients undergoing painless gastroenteroscopy,improve the quality of anesthesia,and have higher safety.

关键词

无痛胃肠镜/右美托咪定/丙泊酚

Key words

Painless gastroenteroscopy/Dexmedetomidine/Propofol

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出版年

2024
山西卫生健康职业学院学报

山西卫生健康职业学院学报

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