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目的探究老年患者胃肠镜检查行瑞芬太尼与依托咪酯联合麻醉的效果。方法 90例行胃肠镜检查的老年患者,根据检查时不同麻醉方案分成对照组(38例)和观察组(52例)。对照组行芬太尼与丙泊酚联合麻醉,观察组行瑞芬太尼与依托咪酯联合麻醉。观察两组麻醉效果。结果观察组检查时心率、舒张压与收缩压指标均优于检查前与对照组(P<0.05);观察组总不良反应率比对照组低(P<0.05)。结论老年患者胃肠镜检查行瑞芬太尼与依托咪酯联合麻醉的效果显著,值得临床推广。
Objective To investigate the effect of combined anesthesia with remifentanil and etomidate on gastrointestinal endoscopy in elderly patients. Methods 90 elderly patients undergoing gastrointestinal endoscopy were divided into the control group (38 cases) and the observation group (52 cases) according to the different anesthesia plans at the time of examination. The control group received fentanyl and propofol anesthesia, and the observation group received remifentanil and etomidate anesthesia. Observed two groups of anesthesia effect. Results The heart rate, diastolic blood pressure and systolic blood pressure in the observation group were better than those in the control group (P <0.05). The total adverse reaction rate in the observation group was lower than that in the control group (P <0.05). Conclusion Gastrointestinal endoscopy in elderly patients with remifentanil and etomidate anesthesia has a significant effect, worthy of clinical promotion.