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目的:观察丙泊酚静脉麻醉在肠镜检查中的效果。方法:随机选择接受肠镜检查的病人512例,其中麻醉组243例,选用手背静脉推注丙泊酚2mg/kg,行肠镜检查;对照组269例不用静脉麻醉,行常规肠镜检查。记录病人接受检查前后不同时点的血压、心率和血氧饱和度,观察操作时间、清醒时间和不良反应等。结果:麻醉组操作时间比对照组明显缩短(P<0.01),不良反应发生率明显降低(P<0.01);麻醉组检查中血压、心率、血氧饱和度较检查前均有不同程度下降,病人满意度明显高于对照组(P<0.01)。结论:在肠镜检查中应用丙泊酚静脉麻醉,可缩短操作时间,减少不良反应,提高检查的成功率。
Objective: To observe the effect of propofol intravenous anesthesia in colonoscopy. Methods: A total of 512 patients undergoing colonoscopy were enrolled. Among them, 243 patients in the anesthesia group were given propofol 2mg / kg by hand dorsal vein injection, and colonoscopy was performed. In the control group, 269 patients received routine colonoscopy without intravenous anesthesia. The patient’s blood pressure, heart rate and oxygen saturation at different time points before and after the test were recorded. The operation time, awake time and adverse reactions were observed. Results: The operation time of the anesthesia group was significantly shorter than that of the control group (P <0.01), and the incidence of adverse reactions was significantly lower (P <0.01). The blood pressure, heart rate and oxygen saturation of the anesthesia group were all decreased to some extent, Patient satisfaction was significantly higher than that of the control group (P <0.01). Conclusion: Intravenous propofol intravenous anesthesia can shorten the operation time, reduce adverse reactions and improve the success rate of the examination.