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目的 :异丙酚静脉麻醉在胃、结肠镜检查中以良好的止痛及镇静作用 ,增加患者接受检查的依从性 ,提高检查的成功率。方法 :将需行胃镜及结肠镜检查的病例分别随机分为观察组 (给予异丙酚静脉麻醉 )与对照组 (常规操作 ) ,分别对两组患者的操作时间 ,检查成功率以及检查前、中、后三阶段的血氧饱和度、心率、平均动脉压进行观察。结果 :观察组的操作时间、检查成功率等方面明显优于对照组 (P <0 .0 1) ,检查前后血氧饱和度和心率的变化与对照组比较无显著差异 (P >0 .0 5 ) ,平均动脉压下降 ,但无需处理。结论 :辅以异丙酚静脉麻醉进行胃、结肠镜检查是安全无痛苦的方法 ,为胃、结肠镜检查的普及开辟了广阔的前景。
Objective: Propofol intravenous anesthesia in the stomach, colonoscopy with good analgesic and sedation, increase patient compliance with the inspection to improve the success rate of the inspection. Methods: The patients who underwent gastroscopy and colonoscopy were randomly divided into observation group (given propofol intravenous anesthesia) and control group (conventional operation). The operation time, the successful rate of examination, In the latter three stages of oxygen saturation, heart rate, mean arterial pressure were observed. Results: The operation time and success rate of the observation group were significantly better than those of the control group (P0.01). There was no significant difference in the oxygen saturation and heart rate between the observation group and the control group (P0.05) 5), mean arterial pressure drop, but without treatment. Conclusion: Gastroscopy and colonoscopy supplemented with propofol intravenous anesthesia are safe and painless methods, which open up broad prospects for the popularization of gastric and colonoscopy.