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地佐辛与丙泊酚用于老年患者无痛胃镜术中麻醉的疗效评价 预览

Efficacy evaluation of dizocine and propofol inanesthesia for painless gastroscopy in elderly patients
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摘要 目的研究分析对老年无痛胃镜术患者实施地佐辛与丙泊酚麻醉的临床效果。方法抽取本院老年无痛胃镜术患者120例展开研究,时间跨度为2018年2月至2019年4月,将120例患者按照麻醉措施不同分为对照组(丙泊酚麻醉)和观察组(地佐辛复合丙泊酚麻醉),对比分析麻醉前后两组患者MAP、血氧饱和度、呼吸频率、血压变化情况、丙泊酚用量、麻醉诱导及苏醒时间、不良反应发生率。结果麻醉后观察组血氧饱和度、呼吸频率较对照组好,MAP略微较低(P<0.05)。观察组丙泊酚用量、麻醉诱导平均时间以及苏醒平均用时均较对照组低(P<0.05)。经麻醉后观察组患者舒张压和收缩压略微较对照组低(P<0.05)。观察组不良反应发生率5.0%,对照组16.3%(P<0.05)。结论对老年无痛胃镜术患者实施地佐辛与复合丙泊酚麻醉疗效较佳,值得推广借鉴。 Objective To study the clinical effects of dexamethasone and propofol anesthesia in elderly patients with painless gastroscopy.Methods A total of 120 patients with senile painless gastroscopy in our hospital were enrolled.From February 2018 to April 2019,120 patients were divided into control(propofol anesthesia)and observation group according to different anesthesia measures.Zuoxin combined with propofol anesthesia;comparative analysis of MAP,oxygen saturation,respiratory rate,blood pressure changes,propofol dosage,anesthesia induction and recovery time,and adverse reaction rate before and after anesthesia.Results After anesthesia,the oxygen saturation and respiratory rate of the observation group were better than those of the control group,and the MAP was slightly lower(P<0.05).The amount of propofol,the mean time of induction of anesthesia and the average time of recovery were lower in the observation group than in the control group(P<0.05).After anesthesia,the diastolic blood pressure and systolic blood pressure of the observation group were slightly lower than those of the control group(P<0.05).The incidence of adverse reactions was 5.0%in the observation group and 16.3%in the control group(P<0.05).Conclusion The efficacy of dizocine and compound propofol in the elderly patients with painless gastroscopy is better,which is worthy of promotion.
作者 廖卫宁 杨丽 张合 董文理 LiaoWeining;Yang Li;Zhang He;DongWenli(Department of Anesthesiology,the First Affiliated Hospital of Hubei University of Science and Technology,Xianning Central Hospital,Xianning,Hubei,437100China)
出处 《当代医学》 2019年第24期67-70,共4页 Contemporary Medicine
基金 湖北省卫生和计划生育委员会科研项目(WJ2017F112)
关键词 地佐辛 丙泊酚 老年患者 无痛胃镜术中 麻醉疗效 Dextrozine Propofol Elderly patients Painless gastroscopy Anesthesia
作者简介 通讯作者:董文理,E-mail:13971818268@163.com
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