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目的:探讨异丙酚复合用药在无痛肠镜检查中的应用效果。方法:择期行肠镜检查患者90例,随机分为异丙酚组(P)、异丙酚复合芬太尼组(PF)、异丙酚复合氯胺酮组(PK),记录MAP、SpO2、HR变化和检查时间、患者苏醒时间。结果:插镜时P组的MAP、HR比PF、PK组显著升高,SpO2、患者苏醒时间无显著变化。结论:异丙酚复合芬太尼或氯胺酮减轻血流动力学变化,不增加患者的苏醒时间。
Objective: To investigate the effect of propofol combination in painless colonoscopy. Methods: Ninety patients undergoing elective colonoscopy were randomly divided into propofol group, propofol combined with fentanyl group, propofol combined ketamine group (PK), MAP, SpO2, HR Change and examination time, patient wake up time. Results: In the P group, the MAP and HR were significantly higher than those in the PF and PK groups, while the recovery time of SpO2 and the patient did not change significantly. CONCLUSIONS: Propofol combined with fentanyl or ketamine attenuated hemodynamic changes without increasing the patient’s wakefulness.