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目的通过对小儿胃镜检查中应用异丙酚的临床研究,对小儿无痛胃镜检查的方法进行评价。方法对220例反复腹痛儿童进行无痛胃镜检查。结果检查后舒适满意220例(100%),对检查过程遗忘220例(100%),血压有不同程度的改变,收缩压、舒张压有不同程度的下降,亦有不同程度上升,SpO2下降10例,其中9例降至95%～90%,1例降至90%以下,HR有不同程度的波动、R无明显变化,检查结束后苏醒时间1～30min。结论小儿胃镜检查过程中应用异丙酚静脉麻醉是安全的,能使患儿顺利完成检查。
Objective To evaluate the use of propofol in pediatric gastroscopy in painless gastroscopy. Methods 220 cases of recurrent abdominal pain painless gastroscopy. Results After the examination, 220 cases were satisfied with comfort (100%), 220 cases (100%) were oblivious to the inspection process, the blood pressure changed to varying degrees, the systolic and diastolic blood pressures decreased to some extent, and the levels of SpO2 decreased to 10 Cases, of which 9 cases dropped to 95% to 90%, 1 case dropped to 90% or less, HR varying degrees of fluctuations, R no significant change after the end of recovery awake time 1 ~ 30min. Conclusion Pediatric gastroscopy during the application of propofol intravenous anesthesia is safe, can make the child successfully completed the examination.