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目的探讨新疆哈萨克族患者行无痛胃镜检查中麻醉适用方案及危险因素。方法对布尔津县医院经治的80例行无痛胃镜检查的哈萨克族患者进行回顾性分析,对这些患者检查前、中、后的生命体征进行比较。结果 80例患者对检查过程均无任何回忆,23例患者有注射痛,13例患者出现血氧饱和度下降,通过吸氧、加压给氧等方式处理后恢复正常。2例患者出现血压下降,检查结束后2～5min内唤醒病人,20～30min内意识完全恢复正常。结论无痛胃镜检查是一种可减少患者痛苦、安全、舒适的麻醉新技术,但此技术对不同年龄、不同体质的患者在管理上有其特殊性。哈萨克族患者在文化背景、生活习惯、饮食结构上有特异性,在进行流行病学调查施行无痛胃镜检查时,对于芬太尼+丙泊酚联合使用的无痛胃镜麻醉方案耐受良好,在充分把握危险因素情况下,可以广泛采用。
Objective To investigate the application of anesthesia and risk factors for painless gastroscopy in Kazakh patients in Xinjiang. Methods A retrospective analysis of 80 Kazakh patients undergoing painless gastroscopy in Burqin County Hospital was conducted to compare the vital signs of these patients before, during and after examination. Results Eighty patients had no recollection of the examination process, 23 patients had injection pain, and 13 patients had decreased blood oxygen saturation. After oxygenation, oxygenation and other treatments, they returned to normal. 2 cases of patients with blood pressure drop, wake up within 2 ~ 5min after the end of the examination, consciousness within 20 ~ 30min completely returned to normal. Conclusion Painless gastroscopy is a new anesthetic technique that can reduce the pain, safety and comfort of patients. However, this technique has some particularities in the management of patients of different ages and different physiques. Kazak patients in the cultural background, habits, diet specific, in the epidemiological survey of painless gastroscopy, the combination of fentanyl + propofol painless gastroscopy anesthesia program was well tolerated, In the full grasp of risk factors, can be widely used.