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目的观察芬太尼、瑞芬太尼分别复合异丙酚在老年无痛胃镜检查中麻醉的效果及对呼吸、循环功能的影响,并进行比较。方法接受无痛胃镜检查的120例老年患者(ASAⅠ~Ⅱ级)随机分为两组:异丙酚复合芬太尼(Ⅰ)组,异丙酚复合瑞芬太尼(Ⅱ)组,每组各60例。记录各组检查前基础值及检查中、检查后的心率(HR)、血氧饱和度(SpO2)、收缩压(SBP)、舒张压(DBP);观察检查中患者反应及检查后有无反应。结果两组均能达到满意麻醉效果,但Ⅱ组与Ⅰ组相比,异丙酚的总用量较少,对患者呼吸、循环功能的抑制作用较小,苏醒快,检查中、后出现不良反应的患者数较少。结论采用瑞芬太尼复合异丙酚麻醉用于老年无痛胃镜检查好于芬太尼复合异丙酚,既有良好的麻醉效果,又有很好的安全性,是较为理想的麻醉方法。
Objective To observe the effects of fentanyl and remifentanil combined with propofol on painless gastroscopy in elderly patients and their effects on respiration and circulatory function, and to compare them. Methods A total of 120 elderly patients (ASAⅠ ~ Ⅱ) undergoing painless gastroscopy were randomly divided into two groups: propofol combined with fentanyl (Ⅰ), propofol combined with remifentanil (Ⅱ) 60 cases each. The basal values and the heart rate (HR), oxygen saturation (SpO2), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded before and after the examination. The patients’ reaction and the reaction after the test were observed . Results Both groups were able to achieve satisfactory anesthesia, but the total amount of propofol in group Ⅱ was less than that in group Ⅰ, which had less inhibitory effect on respiration and circulatory function, fast recovery, and adverse reactions during and after the examination Fewer patients. Conclusion The combination of remifentanil and propofol anesthesia is superior to fentanyl and propofol in senile painless gastroscopy. It has good anesthetic effect and good safety. It is an ideal anesthetic method.