西南国防医药2017，Vol.27Issue(7)：709-711,3.DOI:10.3969/j.issn.1004-0188.2017.07.022
小剂量丙泊酚复合依托咪酯在老年无痛肠镜的临床观察
Effects of small dose propofol combined with etomidate in painless enteroscopy among senile patients
汪海洋 1辜敏2
作者信息
- 1. 610083成都,成都军区总医院麻醉科
- 2. 成都市第一人民医院麻醉科
- 折叠
摘要
Abstract
Objective To explore the safety and feasibility of small dose propofol combined with etomidate in painless enteroscopy among senile patients.Methods A total of 120 senile patients who were voluntary to receive painless enteroscopy were selected and randomly divided into three groups(n=40,respectively).Group A was anaesthetized with propofol + fentanyl,group B with etomidate + fentanyl and group C with propofol + etomidate + fentanyl.The mean arterial pressure (MAP),heart rate (HR) and SpO2 at T0(before administration),T1(when falling asleep),T2(when the enteroscopy reached the ileocecus) and T3(at the end of the examination) and the total amount of medication,recovery time,discharge time and such adverse reactions as hypotension,bradycardia,respiratory depression,nausea and vomiting,injection pain and muscle tremor among patients in the three groups were recorded.Results The heart rate in the three groups had no change before and after the administration.The MAP at T1,T2 and T3 in group A was much lower than that in groups B and C.Group A had respiratory depression (P ＜ 0.05).The dosage of propofol in group C was much less than that in group A and the dosage of etomidate was less than that in group B (P ＜ 0.05).The discharge time among the three groups had no statistical difference.The recovery time in group B was longer than that in groups A and C (P ＜ 0.05).The incidence of adverse reactions in group C after operation was lower than that in groups A and B (P ＜ 0.05).Conclusion Small dose propofol combined with etomidate used in painless enteroscopy among senile patients makes the circulatory system stable,reduces adverse reactions and is worthy of clinical popularization.关键词
丙泊酚/依托咪酯/麻醉,肠镜/老年Key words
propofol/etomidate/anaesthesia/enteroscopy/senile patient分类
医药卫生引用本文复制引用
汪海洋,辜敏..小剂量丙泊酚复合依托咪酯在老年无痛肠镜的临床观察[J].西南国防医药,2017,27(7):709-711,3.
