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目的:观察无痛胃镜检查中应用异丙酚静脉麻醉的效果、安全性和不良反应。方法:分别给予麻醉组380例异丙酚静脉注射麻醉后进行胃镜检查,对照组180例进行常规胃镜检查。在检查前、中、后观察两组患者的血压、心率、血氧饱和度以及患者的反应有何变化,记录麻醉组清醒时间。结果:对检查感受的不适程度,麻醉组患者明显低于对照组(P<0.05),清醒时间1～5min,平均(2.7±1.3)min;检查过程中有1例过性血压下降、心率减慢,停药后即迅速恢复。麻醉组患者中有94.5%愿意接受再次胃镜检查,对照组患者仅22.8%愿意接受必需的复查。结论:在无痛胃镜检查中,应用异丙酚静脉麻醉是一种安全有效的方法。
Objective: To observe the effect, safety and adverse reactions of propofol intravenous anesthesia in painless gastroscopy. Methods: 380 cases of anesthesia were given intravenous propofol anesthesia gastroscopy, the control group of 180 patients underwent routine gastroscopy. In the examination before, during and after observation of two groups of patients blood pressure, heart rate, oxygen saturation and the patient’s response to any changes in anesthesia record the awake time. Results: For the degree of discomfort, the patients in the anesthesia group were significantly lower than those in the control group (P <0.05), the awake time was 1-5 minutes (mean, 2.7 ± 1.3) min. One patient suffered from hypotension and decreased heart rate Slow, rapid withdrawal after withdrawal. 94.5% of the patients in the anesthesia group were willing to undergo gastroscopy again, and only 22.8% of the patients in the control group were willing to undergo the necessary review. Conclusion: In painless gastroscopy, intravenous propofol anesthesia is a safe and effective method.