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目的观察丙泊酚复合阿芬太尼用于无痛胃镜检查的效果及并发症。方法选取无痛胃镜检查患者300例,观察在静脉麻醉下对内镜插入刺激的耐受性及主要不良反应。结果均在麻醉下顺利完成胃镜检查。内镜置人顺利,无抵抗。血压、心率平稳。2例出现肢动,1例出现短暂呃逆,追加丙泊酚后安静入睡。易发生下颌松弛,出现短暂性呼吸抑制,血氧饱和度轻微下降。结论丙泊酚复合阿芬太尼具有作用迅速、镇痛镇静完全、苏醒快等特点,消除了传统胃镜检查给患者带来的恐惧心理和不良刺激,有利于检查和治疗。但应注意呼吸、循环系统管理,术前合并严重心肺疾病患者应慎用全麻。
Objective To observe the effects and complications of propofol combined with alfentanil on painless gastroscopy. Methods 300 cases of painless gastroscopy patients were selected to observe the endurance of endoscopic injection of intravenous anesthesia stimulation and the main adverse reactions. The results were successfully completed under anesthesia gastroscopy. Endoscopic placement well, no resistance. Blood pressure, heart rate steady. 2 cases of limb movement, 1 case of transient hiccups, after appending propofol to sleep quietly. Relaxed mandibular prone, transient respiratory depression, a slight decline in oxygen saturation. Conclusions Propofol combined with alfentanil has the characteristics of rapid action, complete analgesia and calmness, rapid recovery and so on. It eliminates the fear and bad stimulation brought by traditional gastroscopy and is conducive to the examination and treatment. But should pay attention to breathing, circulatory system management, preoperative patients with severe heart and lung disease should be used with caution.