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目的和方法 :通过对 1998~ 1999年的 45 1例咪唑定、异丙酚联合镇静后胃镜检查患者的临床资料进行回顾性调查 ,对这种新的胃镜检查方法进行综合性的评价。结果 :镜检成功率 10 0 % ,患者满意度 10 0 %。平均异丙酚用量 (74.2 8± 32 .45 )mg ,推注速率 30mg/min ,血压下降幅度在安全范围以内 ,SBP(19.78± 8.6 6 )mmHg ,DBP(10 .13± 6 .78)mmHg。并发症及副作用少 ,一次给药后睡眠维持时间稍大于镜检操作时间。结论 :镇静性胃镜检查是一种易被患者接受、安全程度高、操作比较简便的胃镜检查新方法。
PURPOSE AND METHODS: The clinical data of 451 patients with imidazole and propofol combined with sedation after gastroscopy were retrospectively reviewed from 1998 to 1999, and the new method of gastroscopy was comprehensively evaluated. Results: The success rate of microscopic examination was 100% and patient satisfaction was 100%. The average propofol dosage was 74.2 8 ± 32.45 mg and the bolus rate was 30 mg / min. The decrease of blood pressure was within safe range. SBP (19.78 ± 8.66) mmHg, DBP (10.13 ± 6.78) mmHg . Complications and side effects less, after a dose of sleep maintenance time slightly larger than the microscopic examination time. Conclusions: Calm gastroscopy is a new gastroscopy method which is easy to be accepted by patients, with high safety and simple operation.