布托啡诺及芬太尼联合丙泊酚在无痛肠镜肠息肉切除中的麻醉效果研究
|
摘要
目的比较布托啡诺及芬太尼联合丙泊酚在无痛肠镜肠息肉切除中的麻醉效果。方法选取我院2018年1月至2018年10月行无痛肠镜肠息肉切除的患者122例,根据麻醉方式分为两组各61例。对照组采用芬太尼联合丙泊酚麻醉,研究组实施布托啡诺联合丙泊酚麻醉。对比两组患者麻醉期间相关指标与麻醉前后的相关生命体征。结果研究组的麻醉苏醒时间、疼痛时间短于对照组,药物用量少于对照组(P均<0.05)。麻醉前,两组患者的MAP、 HR、 PETCO2和PAW水平比较均无统计学差异(P>0.05)。肠镜进入肛门时,研究组的MAP、 HR水平低于对照组(P <0.05)。麻醉后,研究组的PETCO2和PAW水平低于对照组(P <0.05)。结论对行无痛肠镜肠息肉切除的患者实施布托啡诺联合丙泊酚麻醉,麻醉期间患者的生命体征较为平稳,镇痛效果良好,值得临床应用。
Objective To compare the anesthetic effects of butorphanol or fentanyl combined with propofol in painless colonoscopic polypectomy. Methods 122 cases of patients with painless colonoscopic polypectomy in our hospital from January 2018 to October 2018 were selected and divided into two groups according to the anesthetic methods, with 61 cases in each group. The control group was given fentanyl combined with propofol for anesthesia, while the study group was given butorphanol combined with propofol for anesthesia. The related indicators during anesthesia and the related vital signs before and after anesthesia of the two groups were compared. Results The anesthetic recovery time and pain time of the study group were shorter than those of the control group, and the drug dosage was less than that of the control group(P <0.05). Before anesthesia, no statistical difference was found in the MAP, HR, PETCO2 and PAW levels between the two groups(P >0.05). When colonoscopy entered anus, the MAP and HR levels of the study group were lower than those of the control group(P <0.05). After anesthesia, the PETCO2 and PAW levels of the study group were lower than those of the control group(P <0.05).Conclusions Butorphanol combined with propofol in painless colonoscopic polypectomy has stable vital signs during anesthesia and good analgesic effect, which is worthy of clinical application.
Objective To compare the anesthetic effects of butorphanol or fentanyl combined with propofol in painless colonoscopic polypectomy. Methods 122 cases of patients with painless colonoscopic polypectomy in our hospital from January 2018 to October 2018 were selected and divided into two groups according to the anesthetic methods, with 61 cases in each group. The control group was given fentanyl combined with propofol for anesthesia, while the study group was given butorphanol combined with propofol for anesthesia. The related indicators during anesthesia and the related vital signs before and after anesthesia of the two groups were compared. Results The anesthetic recovery time and pain time of the study group were shorter than those of the control group, and the drug dosage was less than that of the control group(P <0.05). Before anesthesia, no statistical difference was found in the MAP, HR, PETCO2 and PAW levels between the two groups(P >0.05). When colonoscopy entered anus, the MAP and HR levels of the study group were lower than those of the control group(P <0.05). After anesthesia, the PETCO2 and PAW levels of the study group were lower than those of the control group(P <0.05).Conclusions Butorphanol combined with propofol in painless colonoscopic polypectomy has stable vital signs during anesthesia and good analgesic effect, which is worthy of clinical application.
引文
[1]史成梅,周永德,徐懋,等.小剂量右美托咪啶复合舒芬太尼清醒镇静术在老龄患者多发肠息肉切除术中的应用[J].中华医学杂志,2016, 96(43):3474-3478.
[2]郑晖.地佐辛或芬太尼联合丙泊酚在结肠镜肠息肉切除术中的麻醉效果和安全性[J].中国医药, 2017, 12(9):1382-1385.
[3]吉锦泉,王刚,孙柯,等. Narcotrend麻醉深度监测下右美托咪定复合丙泊酚在结肠息肉切除术中的应用[J].南方医科大学学报,2015, 35(2):264-267.
[4]李晓艳.地佐辛或芬太尼联合丙泊酚用于结肠镜肠息肉切除术麻醉的临床效果观察[J].现代医药卫生, 2016, 32(17):2712-2713.
[5]姚宇亮.达克罗宁黏膜表面麻醉用于内镜下结肠息肉切除术效果观察[J].山东医药, 2016, 56(24):51-52.
[6]陈朝晖,凌静.影响结肠镜下肠息肉切除术后患者实施延续性护理的相关因素分析[J].广西医科大学学报, 2015, 32(4):692-694.
[7]邓嘉秋,林龙,黎明,等.结肠镜辅助腹腔镜下结直肠息肉切除术治疗直肠息肉的疗效及对术后胃肠功能及疼痛评分的影响[J].中国老年学杂志, 2018, 38(8):1866-1868.
[8]朱遂美.护理干预对内镜下高频电切除肠息肉手术中的配合和护理方法的影响[J].内蒙古中医药, 2016, 35(6):163-164.
[9]宗方.延续性护理对结肠镜下肠息肉切除术后患者依从性及定期复诊的影响[J].中国继续医学教育, 2017, 9(19):230-231.
[2]郑晖.地佐辛或芬太尼联合丙泊酚在结肠镜肠息肉切除术中的麻醉效果和安全性[J].中国医药, 2017, 12(9):1382-1385.
[3]吉锦泉,王刚,孙柯,等. Narcotrend麻醉深度监测下右美托咪定复合丙泊酚在结肠息肉切除术中的应用[J].南方医科大学学报,2015, 35(2):264-267.
[4]李晓艳.地佐辛或芬太尼联合丙泊酚用于结肠镜肠息肉切除术麻醉的临床效果观察[J].现代医药卫生, 2016, 32(17):2712-2713.
[5]姚宇亮.达克罗宁黏膜表面麻醉用于内镜下结肠息肉切除术效果观察[J].山东医药, 2016, 56(24):51-52.
[6]陈朝晖,凌静.影响结肠镜下肠息肉切除术后患者实施延续性护理的相关因素分析[J].广西医科大学学报, 2015, 32(4):692-694.
[7]邓嘉秋,林龙,黎明,等.结肠镜辅助腹腔镜下结直肠息肉切除术治疗直肠息肉的疗效及对术后胃肠功能及疼痛评分的影响[J].中国老年学杂志, 2018, 38(8):1866-1868.
[8]朱遂美.护理干预对内镜下高频电切除肠息肉手术中的配合和护理方法的影响[J].内蒙古中医药, 2016, 35(6):163-164.
[9]宗方.延续性护理对结肠镜下肠息肉切除术后患者依从性及定期复诊的影响[J].中国继续医学教育, 2017, 9(19):230-231.