不同麻醉药物配伍在结肠镜检查中的应用与护理支持
结肠镜检查;静脉麻醉;咪唑安定;芬太尼;异丙酚,徐显林,张嘉,邝慕珠,谢伦雄,通讯作者:,Applicationofdifferentanestheticsincolonoscopyandtheirnursingsupports,Xian-
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徐显林, 张嘉, 邝慕珠, 深圳市第七人民医院内镜科 广东省深圳市 518081
谢伦雄, 深圳市第七人民医院麻醉科 广东省深圳市 518081
深圳市盐田区科技计划项目, No. 2005W01
通讯作者: 徐显林, 518081, 广东省深圳市, 深圳市第七人民医院内镜科. xxl88sz@163.com
电话: 0755-25215337
收稿日期: 2007-02-11 接受日期: 2007-03-17
Application of different anesthetics in colonoscopy and their nursing supports
Xian-Lin Xu, Jia Zhang, Lun-Xiong Xie, Mu-Zhu Kuang
Xian-Lin Xu, Jia Zhang, Mu-Zhu Kuang,Department of Endoscopy, the Seventh Hospital of Shenzhen City, Shenzhen 518081, Guangdong Province, China
Lun-Xiong Xie,Department of Anaesthesiology, the Seventh Hospital of Shenzhen City, Shenzhen 518081, Guangdong Province, China
Supported bythe Science and Technology Project of Yantian District in Shenzhen City, Guangdong Province, No. 2005W01
Correspondence to:Xian-lin Xi, Department of Endoscopy, the Seventh Hospital of Shenzhen City, Shenzhen 518081, Guangdong Province, China. xxl88sz@163.com
Received:2007-02-11 Accepted:2007-03-17
Abstract
AIM: To compare the effectiveness and safety between fentanyl in combination with midazolam and propofol intravenous anesthesia in colonoscopy.
METHODS: A total of 130 cases of American Anesthetist Association (ASA) Ⅰ-Ⅱ were included in this study. The patients were randomly divided into 2 groups: FM group (intravenous infusion of fentany and midzolam, n = 75) and FP group (intravenous infusion of fentany and propofol, n = 55). The grade of sedation and analgesia, oblivious degree, onset time, recovery time, satisfaction of endoscopic inspection, respiratory inhibition, mean arterial pressure (MAP), heart rate (HR), and SpO2 were recorded.
RESULTS: Satisfactory sedation and analgesia were achieved in both FP and FM group, especially in FP group (t = 29.33, P < 0.01; t = 15.35, P < 0.01). The onset time (t = 6.63, P < 0.01), recovery time (t = 7.83, P < 0.01), oblivious rate (χ2 = 22 ......
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