论文部分内容阅读
目的探讨无痛胃镜检查术在临床工作中的安全性、患者自觉感受及应用价值。方法术前准备同常规胃镜检查,静脉注射芬太尼1～2μg/kg1,5～20 s内注完,1 min后按1.5～2.0 mg/kg缓慢推注异丙酚,30～40 s内缓慢推注,待患者睫毛反射迟钝或消失,自主呼吸正常后(Ramsay分级Ⅲ级),再行胃镜检查。结果全部病例检查结束后15 min内均完全清醒,未发生严重不良反应,均未遗留痛苦回忆6,9例次(42.3%)有舒适感或轻度欣快感。结论镇静状态下胃镜检查术可减少患者的紧张、焦虑和恐惧情绪,并能减少诱发脑卒中、心肌梗死等并发症。无痛胃镜检查法是一种安全、舒适、有效的方法。
Objective To investigate the safety of painless gastroscopy in clinical work, patients’ self-perception and application value. Methods Preoperative preparation was performed with conventional gastroscopy. Intravenous fentanyl (1-2 μg / kg) was injected for 5-20 seconds. After 1 min, propofol was slowly bolted at 1.5-2.0 mg / kg, and within 30-40 s Slowly push the injection until the eyelash lashes slowly or disappear, spontaneous breathing is normal (Ramsay grade Ⅲ), and then gastroscopy. Results All patients were completely awake within 15 min after the examination. No serious adverse reactions occurred, and no painful memories were left in 6 of 9 patients (42.3%) with comfort or mild euphoria. Conclusions Gastroscopy under sedation can reduce the tension, anxiety and fear of patients and reduce the complications such as stroke and myocardial infarction. Painless gastroscopy is a safe, comfortable and effective method.