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目的:讨论胃镜检查中更加舒适的一种镇静镇痛方法。方法:芬太尼-异丙酚为Ⅰ组,咪唑安定-异丙酚组为Ⅱ组。观察记录各组术中的反应、胃镜操作时间、麻醉药物起效时间、苏醒时间和清醒时间,检查前中后BP、HR和SpO2的变化,及术后问卷调查。结果:Ⅰ组药物的起效快,受检者苏醒及清醒时间短,术中不适反应少,与Ⅱ组比较有统计学意义(P<0.01)。结论:镇静无痛苦胃镜检查中芬太尼-异丙酚联合用药更舒适。
Objectives: To discuss a more comfortable method of sedation and analgesia in gastroscopy. Methods: Fentanyl - propofol group Ⅰ, midazolam - propofol group Ⅱ. The intraoperative responses, gastroscopic operation time, onset time of anesthetic drugs, awake time and awake time were recorded and recorded. The changes of BP, HR and SpO2 before and after the procedure were examined, and postoperative questionnaires were recorded. Results: The onset of onset of drug in group Ⅰ was rapid, the subjects recovered and the awake time was short, and the intraoperative unresponsiveness was less. There was a significant difference between group Ⅰ and group Ⅱ (P <0.01). Conclusions: Fentanyl-propofol combination therapy is more comfortable in sedation and painless gastroscopy.