【摘要】 目的观察麻醉镇痛药异丙酚和芬太尼在双气囊小肠镜检查中的临床应用效果。方法自愿接受麻醉镇痛双气囊小肠镜检查的患者40例(观察组)在检查中采用异丙酚复合芬太尼静脉麻醉,不接受麻醉镇痛双气囊小肠镜检查的患者40例(对照组)仅术前肌内注射安定和杜冷丁。检查过程中监测2组血压、心率、血氧饱和度,记录进镜完成时间、检查中反应,并在检查后询问受检者的感受。结果2组检查前、中、后平均血氧饱和度、血压、心率比较,差异均无统计学意义(均P>0.05)。进镜完成时间观察组为(89.3±8.9)min,对照组为(91.1±10.2)min,2组比较,差异无统计学意义(P>0.05)。观察组所有患者均完成检查(成功率为100%),对照组有6例因不能耐受腹痛而中止检查(成功率为85%),观察组成功率明显高于对照组(P<0.05)。观察组检查后满意度为100%,有复检意向30例(75%),对照组检查后满意度为70%,有复检意向4例(10%),2组比较,差异有统计学意义(P<0.05)。结论麻醉镇痛下行双气囊小肠镜检查是一种安全有效的人性化检查手段。更多还原

【Abstract】 Objective To observe the clinical effect of anaesthetic drugs propofol and fentanyl in double-balloon enteroscopy examination.Methods Intravenous anesthesia with propofol and fentanyl were performed in 40 patients who accepted the anaesthetic double-balloon enteroscopy (observation group).The other 40 patients who didn’t accept the anaesthetic double-balloon enteroscopy (control group) were only given preoperative intramuscular injection with diazepam and dolantin.The blood pressure,heart rate and blood oxygen saturation of both groups were monitored during the operation.The completion time,reaction of examination and postoperative patient’s feeling were also recorded.Results There had no statistical significance in the average oxygen saturation,blood pressure and heart rate between two groups(P>0.05).The completion time of observation group and control group were(89.3±8.9)min and (91.1±10.2)min respectively,and there had no statistical significance between two groups(P>0.05).All patients in observation group completed the examination and the success rate was 100%,and six patients failed in control group because of the abdominal pain and the success rate was 85%.The success rate of observation group was significantly higher than that of control group(P<0.05).The satisfaction dgree and recheck intention rate in observation group were 100% and 75% respectively,and those in control group were 70% and 10% respectively,the difference had statistical significance(P<0.05).Conclusion Anaesthetic double-balloon enteroscopy is a safe,effective and humanity examinational means.更多还原