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目的:观察丙泊酚复合小剂量芬太尼在胃镜检查中的效果。方法:选择100例胃镜检查患者随机分为A组(丙泊酚组)和B组(丙泊酚复合芬太尼组),每组50例。A组静脉注射丙泊酚1.5~2 mg/kg,B组先静脉注射芬太尼1μg/kg,1 min后再静脉注射丙泊酚1~1.5 mg/kg,术中必要时加0.5~1 mg/kg,比较两组麻醉效果与清醒时间和质量。结果:两组效果差异有统计学意义(P<0.01)。结论:单纯丙泊酚和丙泊酚复合小剂量芬太尼用于无痛胃镜检查是可行的,但丙泊酚复合小剂量芬太尼麻醉效果更满意。
Objective: To observe the effect of propofol combined with fentanyl in gastroscopy. Methods: One hundred patients undergoing gastroscopy were randomly divided into group A (propofol group) and group B (propofol combined with fentanyl group), 50 cases in each group. Group A received intravenous injection of propofol 1.5-2 mg / kg, Group B received intravenous injection of fentanyl 1 μg / kg for 1 min, and then intravenous infusion of propofol 1-1.5 mg / kg during operation. 0.5-1 mg / kg. The anesthetic effect and awake time and quality of the two groups were compared. Results: The difference between the two groups was statistically significant (P <0.01). Conclusions: Propofol and propofol combined small dose of fentanyl for painless gastroscopy is feasible, but the effect of propofol combined with small doses of fentanyl anesthesia is more satisfactory.