摘要
目的:观察地佐辛联合丙泊酚用于门诊无痛肠镜检查的安全性、可行性及有效性。方法:选择本院ASAⅠ～Ⅱ级80例纤维结肠镜检患者,随机分为A组(地佐辛复合丙泊酚组,n=40)和B组(芬太尼复合丙泊酚组n=40)。观察两组患者术前、镜过结肠脾曲及术后SpO2、HR、MAP、RR、意识消失时间(睫毛反射消失)、术中体动、苏醒时间、视觉模拟评分(VAS)、丙泊酚总用量、随访患者满意度。结果:和B组相比,A组患者苏醒时间缩短,术中术毕不良反应发生率明显低于芬太尼组,术中生命体征更加平稳。结论:地佐辛复合丙泊酚用于无痛肠镜检查和治疗镇痛效果及镇静效果确切,安全性高,不良反应少,是一种可行,有效的无痛肠镜麻醉方法。
Objective： To investigate the safety,feasibility and effectiveness of dezocine combined with propofol used for painless colonoscopy examination and treatment.Methods： Select 80 cases colonoscopy patients who is in ASAⅠ~Ⅱ in our hospital and then randomly divide into group A（dezocine combined with propofol group,n=40） and group B（fentanyl combined with propofol group n=40）.Observe two patients,mirror over the splenic flexure of colon,SpO2,HR,MAP,RR after operation,the time of loss of consciousness（loss of eyelash reflex）,body movement in operation,recovery time,VAS,and the total dosage of propofol.Finally follow up patients＇ satisfication.Results： Compared with group B,the patients in group A decrease the recovery time.The incidence rate of adverse reaction was significantly lower than that in the fentanyl group in operation and after operation.Vital signs in group A were more stable.Conclusion： Dezocine combined with propofol used in painless colonoscopy examination,treatment of pain and sedative effect has a good effect,high security and fewer adverse reactions.So it is a feasible,effective anesthesia method of painless colonoscopy.
出处
《河南医学研究》
CAS
2012年第4期429-431,共3页
Henan Medical Research
关键词
地佐辛
芬太尼
丙泊酚
无痛肠镜
dezocine
fentanyl
propofol
painless colonoscopy
作者简介
程静（1985-），女，河南安阳人，在读硕士研究生，研究方向：麻醉与阵痛。
通讯作者：董铁立（1959-），男，博士生导师，主任医师，教授。E-mail：tlddtl@163．com。
