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阿芬太尼复合丙泊酚在结肠镜检查中的应用效果

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目的:观察阿芬太尼复合丙泊酚在结肠镜检查患者术后恢复质量中的应用.方法:选入 2022 年 7 月—2022 年10月平顶山市新华区人民医院收治的结肠镜检查患者80例,将使用阿芬太尼复合丙泊酚的40例患者作为阿芬太尼组,将使用舒芬太尼复合丙泊酚的40例患者作为舒芬太尼组,比较两组各时间点收缩压、舒张压、心率、呼吸频率、脉搏氧饱和度、呛咳、体动、呼吸抑制发生次数、定向力恢复时间、苏醒时间、诱导时间、检查时间、不良反应、检查结束后不同时间点患者恢复状况、麻醉效果.结果:两组麻醉用药后 3 min(T2)和检查结束时(T3)收缩压、舒张压、心率、呼吸频率、脉搏氧饱和度低于麻醉前(T1),且阿芬太尼组T2 呼吸频率高于舒芬太尼组(P<0.05);阿芬太尼组呛咳、体动、呼吸抑制发生率低于舒芬太尼组(P<0.05);阿芬太尼组定向力恢复时间和苏醒、诱导时间短于舒芬太尼组(P<0.05);阿芬太尼组不良反应发生率低于舒芬太尼组(P<0.05);阿芬太尼组检查结束后 15 min伤害性反应、日常生活活动能力优于舒芬太尼组,离院时生理功能、伤害性反应、日常生活活动能力、认知功能优于舒芬太尼组(P<0.05);阿芬太尼组麻醉优良率高于舒芬太尼组(P<0.05).结论:阿芬太尼复合丙泊酚在结肠镜检查患者术后恢复质量中的应用效果理想,能够减少患者麻醉后的呛咳、体动、呼吸抑制的发生次数,降低不良反应发生概率,提高患者的生理功能、伤害性反应、日常生活活动能力,麻醉效果好.
Application Effect of Alfentanil Combined with Propofol in Colonoscopy
Objective:To observe the application of alfentanil combined with propofol in postoperative recovery quality of patients undergoing colonoscopy.Methods:A total of 80 patients undergoing colonoscopy in our hospital from July 2022 to October 2022 were selected.40 patients who used alfentanil combined with propofol were selected as the alfentanil group,and 40 patients who used sufentanil combined with propofol were selected as the sufentanil group.Systolic blood pressure,diastolic blood pressure,heart rate,respiratory rate,pulse oxygen saturation,cough,body movement,respiratory depression,orientation recovery time,recovery time,induction time,examination time,adverse reactions,recovery status and anesthesia effect at different time points after examination were compared between the two groups..Results:The systolic blood pressure,diastolic blood pressure,heart rate,respiratory rate and pulse oxygen saturation at 3 min after anesthesia(T2)and at the end of examination(T3)in the two groups were lower than those before anesthesia(T1),and the respiratory rate at T2 in the alfentanil group was higher than that in the sufentanil group(P<0.05).The incidence of cough,body movement and respiratory depression in the alfentanil group was lower than that in the sufentanil group(P<0.05).The recovery time of orientation,recovery time and induction time in the alfentanil group were shorter than those in the sufentanil group(P<0.05).The incidence of adverse reactions in the alfentanil group was lower than that in the sufentanil group(P<0.05).The nociceptive response and activities of daily living in the alfentanil group were better than those in the sufentanil group at 15 min after the end of the examination,and the physiological function,nociceptive response,activities of daily living and cognitive function at discharge were better than those in the sufentanil group(P<0.05).The excellent and good rate of anesthesia in alfentanil group was higher than that in sufentanil group(P<0.05).Conclusion:The application effect of alfentanil combined with propofol in the quality of postoperative recovery of patients undergoing colonoscopy is ideal,which can reduce the frequency of cough,body movement and respiratory depression after anesthesia,reduce the incidence of adverse reactions,and improve the physiological function,nociceptive response and daily living ability of patients.

AlfentanilPropofolColonoscopy

王振亚、张凯、耿洋、薛延辉

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平顶山市新华区人民医院麻醉科,河南 平顶山 467000

商丘市中心医院麻醉科,河南 商丘 476000

郑州华卓医院麻醉科,河南 郑州 450000

顶山市新华区人民医院内分泌科,河南 平顶山 467000

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阿芬太尼 丙泊酚 结肠镜检查

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(5)