Effects of Alfentanil Application in Anesthesia for Painless Gastroenteros-copy Examination
Objective To analyze the application effect of alfentanil in anesthesia for painless gastroenteroscopy ex-amination.Methods A total of 270 patients received painless gastroenteroscopy in Ningxian People's Hospital from January 2022 to August 2023 were selected as the study objects,and they were divided into the control group(using conventional anesthesia)and the observation group(using alfentanil anesthesia)using the random number table method with 135 cases in each group.The awakening time,time to leave the room,propofol dosage,number of intraop-erative propofol additions,blood pressure,heart rate,respiratory rate,transcutaneous arterial oxygen saturation values and the incidence of adverse reactions were compared between the two groups.Results The observation group had shorter awakening time and time to leave the room,less propofol dosage and number of intraoperative propofol addi-tions than the control group,and the differences were statistically significant(all P<0.05).Before anesthesia,there was no statistically significant difference in diastolic blood pressure,heart rate,respiratory rate,and percutaneous arterial oxygen saturation between the two groups(all P>0.05).The observation group had a higher respiratory rate at the be-ginning of the operation and at the time of withdrawal than the control group and systolic blood pressure was higher at the time of withdrawal than that in the control group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the observation group(0.74%)was lower than that in the control group(1.48%),but the difference was not statistically significant(χ2=0.337,P>0.05).Conclusion Afentanil is effective in painless gastroenteroscopy.Compared with conventional anesthesia,alfentanil can shorten the awakening time and departure time,reduce the amount of propofol and the number of additional intraoperative propofol,and provide patients with more stable intraoperative vital signs and higher surgical safety.
万方数据
维普
