首页|探究纳布啡+丙泊酚+依托咪酯麻醉用于老年患者无痛胃肠镜检查的麻醉效果

探究纳布啡+丙泊酚+依托咪酯麻醉用于老年患者无痛胃肠镜检查的麻醉效果

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目的 探讨纳布啡+丙泊酚+依托咪酯麻醉用于老年患者无痛胃肠镜检查的麻醉效果.方法 选取2021年10月—2022年10月宁阳县第一人民医院收治的120例老年患者无痛胃肠镜检查者作为研究对象,用随机数表法将其分对照组和观察组,各60例,对照组接受丙泊酚+依托咪酯麻醉,观察组接受纳布啡+丙泊酚+依托咪酯麻醉,比较两组患者麻醉效果、血流动力学指标、关怀行为评价量表(Caring Behavior Evaluation Scale,CBA)评分、简易精神状态检查量表(Mini-mental State Examination,MMSE)评分、不良反应发生率等.结果 观察组麻醉效果优于对照组,CBA评分高于对照组,麻醉后15、30 min时MMSE评分高于对照组,差异有统计学意义(P均<0.05);观察组不良反应发生率(5.00%)比对照组(6.67%)低,但差异无统计学意义(χ2=0.000,P>0.05).结论 老年患者接受无痛胃肠镜检查时,可采用纳布啡+丙泊酚+依托咪酯麻醉,其麻醉效果理想,并对其认知功能的影响较小,血流动力学指标处于稳定状态,疗效更理想.
Anesthetic Effect of Nalbuphine + Propofol + Etomidate for Painless Gas-troenteroscopy in Elderly Patients
Objective To investigate the anesthetic effect of nalbuphine + propofol + etomidate for painless gastroen-teroscopy in elderly patients.Methods A total of 120 elderly patients undergoing painless gastroenteroscopy admitted to Ningyang County First People's Hospital from October 2021 to October 2022 were selected as the study objects,and were divided into control group and observation group with 60 cases in each group by random number table method.The control group received propofol + etomidate anesthesia,and the observation group received nalbuphine + propofol + etomidate anesthesia.Anesthesia effect,hemodynamic index,Caring Behavior Evaluation Scale(CBA)score,Mini-mental State Examination(MMSE)score,incidence of adverse reactions were compared between the two groups.Results The anesthetic effect of the observation group was better than that of the control group,the CBA score of observation group was higher than that of control group,the MMSE scores of the observation group were higher than those of the control group at 15 min and 30 min after anesthesia,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the observation group was 5.00%compared with 6.67%in the control group,but the differences was not statistically significant(χ2=0.000,P>0.05).Conclusion When elderly patients re-ceive painless gastroenteroscopy,nalbuphine + propofol + etomidate can be used as anesthesia,which has ideal anes-thetic effect and little influence on cognitive function,and the hemodynamic index is stable,and the curative effect is more ideal.

ElderlyPainless gastroenteroscopePropofolEtomidateCognitive functionHemodynamicsNarcotize

杨慧、刘德杰

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宁阳县第一人民医院麻醉科,山东泰安 271400

山东大学齐鲁医院麻醉科,山东济南 250012

老年 无痛胃肠镜 丙泊酚 依托咪酯 认知功能 血流动力学 麻醉

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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