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目的 研究芬太尼和异丙酚静脉麻醉在胃镜检查中的效果和安全性。方法 将 380 0例胃镜检查患者随机分为麻醉组 (10 0 0例 ) ,普通组 (2 80 0例 ) ,比较两组检查中的不良反应 ,监测血压、心率、血氧饱和度 (SpO2 ) ,记录胃镜操作时间和患者清醒时间以及受检查对检查过程的感受。结果 麻醉组检查中的不良反应发生率明显低于普通组 ,术后感受优于普通组 ,麻醉组血压、心率大多无明显改变 ,血氧饱和度 (SpO2 )稳定在 96 %以上 ,麻醉组胃镜操作时间短于普通组 ,两组间有显著差异 ,麻醉组清醒时间 (4.5± 1.8)min。结论 芬太尼和异丙酚辅助胃镜检查是一项安全、有效、无痛苦的新技术。
Objective To study the efficacy and safety of fentanyl and propofol intravenous anesthesia in gastroscopy. Methods 380 patients with gastroscopy were randomly divided into anesthesia group (280 cases) and general group (280 cases). The adverse reactions in the two groups were compared. Blood pressure, heart rate, blood oxygen saturation (SpO2) , Recording gastroscope operation time and patient awake time, and the inspection to the inspection process. Results The incidence of adverse reactions in the anesthesia group was significantly lower than that in the normal group. The postoperative feeling was better than that in the general group. Most of the patients in the anesthetic group had no significant changes in blood pressure and heart rate, and the SpO2 was stable at 96% The operation time was shorter than that of the normal group, with significant difference between the two groups. The awake time of the anesthesia group (4.5 ± 1.8) min. Conclusion Fentanyl and propofol assisted gastroscopy is a safe, effective and painless new technology.