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目的:探讨异丙酚在胃镜下胃内异物取出术中的麻醉效果与安全性。方法:将预行胃镜下胃内异物取出术的28例患者分为A组(异丙酚组),B组(局麻组)。A组静脉注入芬太尼0.1μg/kg和异丙酚1.5~2.0 mg/kg。B组含服利多卡因胶浆。观察手术前、术中、术毕15 min后,HR、MAP、SpO2及患者疼痛反应,手术时间。结果:A组患者术中体动差MAP及HR有下降趋势,而B组患者术中体动明显,MAP及HR无显著变化,A组患者手术时间明显比B组短。结论:对于那些不合作的罪犯,吞食的器物比较尖锐且不易取出时,应在全麻状态下胃内异物取出术比较容易操作实施,值得临床推广。
Objective: To investigate the anesthetic effect and safety of propofol during intragastric gastroduodenal foreign body removal. Methods: 28 patients who underwent preoperative gastroscopic removal of intragastric foreign bodies were divided into group A (propofol group) and group B (group of local anesthesia). Group A received intravenous fentanyl 0.1 μg / kg and propofol 1.5-2.0 mg / kg. B group containing lidocaine glue. Observed before surgery, intraoperative and postoperative 15 min, HR, MAP, SpO2 and patient pain response, operation time. Results: During the operation, the MAP and HR of the patients in group A decreased while that in group B was significantly lower than that in group B, while the MAP and HR did not change significantly. The operation time of group A was significantly shorter than that of group B. Conclusion: For those uncooperative criminals who swallow the sharp and difficult to remove the utensils should be removed under general anesthesia in the stomach foreign body surgery is relatively easy to operate, worthy of clinical promotion.