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目的观察异丙酚静脉麻醉用于胃、肠镜检查时出现的不良反应。方法观察并记录850例无痛苦胃镜、结肠镜检查前、给药后1、5、15分钟时患者收缩压(SBP)、舒张压(DBP)、平均动脉压(MBP)、心率(HR)、心电图(ECG)及血氧饱和度(SaO2)等生理指标的变化及出现的不良反应。结果麻醉后行电子胃镜和肠镜检查时存在心血管系统、呼吸系统和神经系统的变化,给予相应处理后可以得到良好控制。结论在胃肠镜检查中异丙酚麻醉存在心血管、呼吸等系统的不良反应,但在专业麻醉师实施麻醉、严格监护和处理下,不会发展成严重不良后果。在异丙酚麻醉下进行胃、肠镜检查无痛苦,安全有效。
Objective To observe the adverse reactions of propofol intravenous anesthesia in gastric and colonoscopy. Methods 850 patients with painless gastroscope were observed and recorded. Before the colonoscopy, SBP, DBP, MBP, HR, Electrocardiogram (ECG) and oxygen saturation (SaO2) and other physiological changes and the emergence of adverse reactions. Results There were cardiovascular, respiratory and neurological changes in the electronic gastroscopy and colonoscopy after anesthesia, which could be well controlled after corresponding treatment. Conclusions In gastrointestinal endoscopy, propofol anesthesia may cause cardiovascular, respiratory and other adverse reactions. However, anesthesia, strict supervision and treatment by professional anesthesiologists will not develop into serious adverse consequences. Stomach and colonoscopy under propofol anesthesia is painless, safe and effective.