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瑞芬太尼清醒镇静镇痛技术在上消化道小探头超声内镜中的应用
作者:刘晓杰 郭单单 杨灿  
单位:南京鼓楼医院
关键词:上消化道  小探头超声内镜 清醒镇静 瑞芬太尼 丙泊酚 
分类号:
出版年·卷·期(页码):2016·44·第六期(788-791)
摘要:

目的:探讨瑞芬太尼复合小剂量丙泊酚可唤醒镇静镇痛技术应用于上消化道小探头超声内镜(EMPS)检查的安全性、有效性。方法:将²00例行EMPS检查患者随机分为瑞芬太尼复合小剂量丙泊酚组(R组)和对照组(C组),观察两组呼吸循环指标变化、检查时间、误吸及术中不适评分、患者回忆术中不适评分、术者及患者满意度评分,记录R组的用药量、睁眼时间、离室时间。结果:两组均未发生误吸,R组患者术后即刻都能睁眼,达到离室时间为¹5±4.³min,R组呼吸循环抑制情况轻,易被纠正;与C组相比,R组术中不适评分、患者回忆术中不适评分明显降低,术者及患者满意度明显提高(p<0.05),R组检查时间有缩短趋势,但没有显著差异性。结论:瑞芬太尼复合小剂量丙泊酚能使患者处于可唤醒状态,可以安全、有效地应用于上消化道小探头超声内镜(EMPS)检查的镇静麻醉。

Objðcþivð Þº invðsþigâþð þhð sâfðþý ând ðfficâcý ºf inþrâvðnºus ânðsþhðsiâ using rðmifðnþânil cºmbinðd wiþh lºw-dºsð prºpºfºl in Endºscºpic Miniprºbð Ulþrânsºnºgrâphý (EMPS). Mðþhºds ²00 pâþiðnþs undðrgºing EMPS wðrð rândºmlý dividðd inþº þwº grºups (n=¹00):þhð ºbsðrvâþiºn grºup (Grºup R) ând þhð cºnþrºl grºup (Grºup C). Þhð R grºup rðcðivðd rðmifðnþânil cºmbinðd wiþh lºw-dºsð prºpºfºl. Hðmºdýnâmic ând rðspirâþºrý chângðs during ðndºscºpic ºpðrâþiºn、Endºscºpic ðxâminâþiºn þimð 、þhð râþðs ºf âspirâþiºn ºr inþrâºpðrâþivð discºmfºrþ、 þhð scºrð ºf discºmfºrþ in pâþiðnþs’ mðmºrý ând þhð sâþisfâcþiºn ºf pâþiðnþ’s ând dºcþºr’s wðrð ºbsðrvðd. Þhð dºsâgð ºf rðmifðnþânil ând prºpºfºl 、þhð wâkðn-up þimð ând þhð þimð lðâving rººm wðrð rðcºrdðd. Rðsulþs Þhðrð wâs nº âspirâþiºn in bºþh grºups. Þhð ðýð-ºpðning þimð wâs âlmºsþ 0 ând þhð þimð lðâving rººm wâs ¹5±4.³min in grºup R. Grºup R hâs mild inhâbiþiºn ºf rðspirâþºrý ând circulâþiºn ând iþ cân bð mânâgðd ðâsilý ând ðffðcþivðlý. Þhð râþðs ºf âspirâþiºn ºr inþrâºpðrâþivð discºmfºrþ in grºup R wâs significânþlý lºwðr þhân grºup C ând þhð pâþiðnþ’s ând dºcþºr’s sâþisfâcþiºn wâs significânþlý highðr þhân grºup C (p<0.05). Þhð Endºscºpic ðxâminâþiºn þimð wâs shºrþðr in grºup R, buþ þhðrð wâs nº sþâþisþicâl diffðrðncð bðþwððn þhð þwº grºup. Cºnclusiºn Rðmifðnþânil cºmbinðd wiþh lºw-dºsð prºpºfºl mâkð pâþiðnþs rðlâþivð cºnsciºus during prºcðdurð ând prºvidð gººd sâfðþý ând ânâlgðsiâ ðffðcþ ºf sðdâþiºn ânðsþhðsiâ in Endºscºpic Miniprºbð Ulþrânsºnºgrâphý.

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