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目的 :应用无痛苦性胃镜术 ,以使患者在胃镜检查治疗中能够安全、舒适、无痛苦。方法 :术前准备除按常规胃镜检查作好术前准备外 ,应配备监护仪、氧气、急救药吕及气管插管抢救设备 ,检查前 1 0～ 1 5min口服达克罗宁或用 2 %的利多卡因行咽喉部充分喷雾麻醉 2～ 3次 ,缓慢静脉注射咪唑安定 ,总量 1 .5～ 2mg ,再以40mg/ 1 0s的注射速度静脉推注异丙酚 (最大量 1 80mg、最小量 40mg) ,病人进入睡眠状态下 ,立即插镜检查。术中术后严密观察血氧饱和度。结果 :1 0 0 8例患者均顺利完成 ,未发生严重的副反应。无痛苦性胃镜术后一般 5～ 7min内清醒。 1 0 0 %的患者非常满意。结论 :无痛苦性胃镜术确实为一种安全、有效、舒适的新技术
Objective: To apply painless gastroscopy to enable patients to be safe, comfortable and painless during endoscopy. Methods: Preoperative preparation should be equipped with monitor, oxygen, emergency medicine and endotracheal intubation rescue equipment in addition to routine gastroscopy. Before the test, oral dacronin should be given 10 ~ 15 minutes or be treated with 2% Of lidocaine trip throat full spray anesthesia 2 to 3 times, intravenous infusion of midazolam, the total amount of 1.5 ~ 2mg, then 40mg / 1s injection rate of intravenous injection of propofol (maximum 180mg, The minimum amount of 40mg), the patient into sleep, immediately insert the mirror examination. Intraoperative postoperative close observation of oxygen saturation. Results: All of the 108 patients were successfully completed without serious side effects. Painless gastroscopy generally within 5 ~ 7min awake. 100% of patients are very satisfied. Conclusion: Painless gastroscopy is indeed a safe, effective and comfortable new technology