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瑞马唑仑联合阿芬太尼在阻塞性睡眠呼吸暂停患者胃肠镜检查中的效果

肖晓 周红梅 张艳利 孙家林 王金丽 郝倩

中国临床药学杂志2024,Vol.33Issue(1):35-39,5.
中国临床药学杂志2024,Vol.33Issue(1):35-39,5.DOI:10.19577/j.1007-4406.2024.01.006

瑞马唑仑联合阿芬太尼在阻塞性睡眠呼吸暂停患者胃肠镜检查中的效果

Effect of remimazolam combined with alfentanil on anesthesia gastrointestinal endoscopy in obstructive sleep apnea

肖晓 1周红梅 1张艳利 1孙家林 1王金丽 1郝倩1

作者信息

  • 1. 嘉兴市第二医院麻醉科,嘉兴 314000
  • 折叠

摘要

Abstract

AIM To explore the efficacy of remimazolam combined with alfentanil in patients with obstructive sleep apnea undergoing gastrointestinal endoscopy.METHODS 60 patients with obstructive sleep apnea who voluntarily underwent painless gastroenteroscopy in outpatient department were selected and randomly divided into 2 groups.The observation group was treated with a combination of remimazolam and alfentanil in 28 patients.The control group was given a combination of propofol and alfentanil in 32 patients.The quality of anesthesia(hypoxemia,body movement,coughing,awareness rate during operation),quality of recovery(time of eye-opening,recovery time,stay time in the recovery room),operation time of gastrointestinal endoscopy,and adverse reactions(postoperative nausea and vomiting,dizziness,hypotension,injection pain)and other occurrences were compared between the 2 groups.RESULTS The success rate of sedation in both groups was 100%.The incidence of hypoxemia and injection pain in the observation group was lower than those in the control group(P<0.05),and the recovery time and stay time in the recovery room were shorter than those in the control group(P<0.05).There was no statistically significant difference in the incidence of physical activity,coughing,nausea and vomiting,dizziness,and hypotension between the 2 groups(P>0.05).CONCLUSION The application of the combination of remimazolam and alfentanil in patients with obstructive sleep apnea undergoing gastrointestinal endoscopy is highly effective and safe.

关键词

瑞马唑仑/阿芬太尼/阻塞性睡眠呼吸暂停/胃肠镜检查

Key words

remimazolam/alfentanil/obstructive sleep apnea/gastrointestinal endoscopy

引用本文复制引用

肖晓,周红梅,张艳利,孙家林,王金丽,郝倩..瑞马唑仑联合阿芬太尼在阻塞性睡眠呼吸暂停患者胃肠镜检查中的效果[J].中国临床药学杂志,2024,33(1):35-39,5.

基金项目

嘉兴市科技计划(民生科技创新研究)(编号2022AD30027) (民生科技创新研究)

中国临床药学杂志

OACSTPCD

1007-4406

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