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目的 :观察静脉麻醉后行肠镜检查病人的依从性及对肠镜操作的影响。方法 :将 1 0 8例病人随机分成药物组 (55例 ,辅以异丙酚静脉麻醉 )和对照组 (53例 ,常规操作 ) ,记录两组操作前、操作中及操作后 5min的心率、血压、氧饱和度 ,操作时间 ,是否完成肠镜 ,患者的满意度以及检查过程中的不良反应。结果 :药物组操作过程中心率、血压与对照组相比明显降低 ,操作前后均无统计学意义 ,药物组患者满意度高于对照组 ,操作时间及成功率无统计学差异。结论 :静脉麻醉辅助肠镜可增加病人的依从性 ,减少病人痛苦 ,但不能缩短操作时间及提高检查成功率。
OBJECTIVE: To observe the compliance of patients undergoing colonoscopy after intravenous anesthesia and the effects on colonoscopy. Methods: A total of 108 patients were randomly divided into medication group (55 cases with propofol intravenous anesthesia) and control group (53 cases, routine operation). The heart rate of the two groups before operation, during operation and after operation were recorded. Blood pressure, oxygen saturation, operating time, completion of colonoscopy, patient satisfaction, and adverse reactions during the examination. Results: The heart rate and blood pressure of the drug group were significantly lower than those of the control group during operation. There was no significant difference between the two groups before and after the operation. The satisfaction of the drug group was higher than that of the control group. The operation time and success rate were not statistically different. Conclusion: Intravenous anesthesia assisted colonoscopy can increase patient compliance and reduce patient pain, but can not shorten the operation time and improve the success rate of the examination.