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目的观察丙泊酚复合酮咯酸氨丁三醇在无痛肠镜检查中的应用。方法 360例无痛肠镜检查患者随机分为3组,每组120例:单纯丙泊酚(A组);丙泊酚+芬太尼(B组);丙泊酚+酮咯酸氨丁三醇(C组)。观察术中生命体征、丙泊酚用量、术后清醒时间、呼吸抑制、不良反应。结果 C组对病人术中的SBP、HR影响及呼吸抑制明显低于A、B组;术后清醒时间和丙泊酚的用药总量均少于A组。结论丙泊酚+酮咯酸氨丁三醇应用于肠镜检查麻醉,可明显减少丙泊酚的用量,不良反应少,有一定的优势。
Objective To observe the application of propofol combined ketorolac tromethamine in painless colonoscopy. Methods A total of 360 patients with painless colonoscopy were randomly divided into 3 groups (120 in each group): propofol (group A), propofol + fentanyl (group B), propofol + ketorolac Triol (C group). Observation of vital signs, propofol dosage, postoperative wake-up time, respiratory depression, adverse reactions. Results The SBP, HR and respiratory depression of patients in group C were significantly lower than those in groups A and B; the total amount of awake and propofol was less than that in group A after operation. Conclusion Propofol + ketorolac tromethamine used in colonoscopy anesthesia, can significantly reduce the dosage of propofol, fewer adverse reactions, have some advantages.