以丙泊酚为麻醉剂的成人无痛胃镜的临床观察_West China Medical Journal

Authors：

 刘凤 ,  黄茂涛 , 胡海燕 , 曹亚玲 , 王平 , 毛本红 , 史小英

解放军第452医院消化内分泌科（成都，610021）;

Corresponding author：

黄茂涛, Email: mysterioussc@qq.com

Keywords：

丙泊酚; 胃镜; 麻醉; 护理

DOI：

10.7507/1002-0179.20140283

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的观察单用丙泊酚作为短效麻醉剂的成人无痛胃镜的安全性、有效性以及护理特点。方法选择2010年1月－2011年12月，单用丙泊酚作为短效麻醉剂，进行无痛胃镜检查（不包括行镜下治疗的无痛胃镜）患者5 180例，予麻醉剂量2～3 mg/kg，观察术中患者生命体征、神志，有无呛咳、躁动，胃镜操作成功率，以及复苏时间、患者满意度、痛苦感、不良反应等。结果患者在静脉注射丙泊酚后1～2 min麻醉成功，其中术中躁动203例，占3.9%；给予追加麻醉剂506例，占9.8%，追加剂量60～80 mg，所有患者均成功完成胃镜检查。患者在麻醉后8～10 min即可清醒自行走出复苏室。术后诉感觉舒适惬意，无痛苦感。均未出现严重不良反应，清醒后无不良记忆，患者满意度高。结论单用丙泊酚作为短效麻醉剂行无痛胃镜检查安全有效，胃镜室配置专职麻醉师及术前、术中、术后精心专业护理是无痛胃镜安全操作的重要保证。

Citation： 刘凤, 黄茂涛, 胡海燕, 曹亚玲, 王平, 毛本红, 史小英. 以丙泊酚为麻醉剂的成人无痛胃镜的临床观察. West China Medical Journal, 2014, 29(5): 933-934. doi: 10.7507/1002-0179.20140283 Copy

1.	张树兵, 任建刚. 1200例无痛胃镜检查治疗体会[J]. 西南军医, 2007, 9(4):147-148.
2.	庞家武, 黄永昌, 蒙春霞. 无痛胃镜126例临床研究[J]. 华夏医学, 2007, 20(6):1217-1219.
3.	李岩, 孟瑞霞. 麻黄碱与异丙酚、芬太尼配伍用于无痛胃镜的临床观察[J]. 河南外科学杂志, 2007, 13(2):36-37.
4.	史文生, 吴小丽, 陈静. 不同麻醉方法在无痛胃镜检查中的临床观察[J]. 临床和实验医学杂志, 2011, 10(6):450-451, 453.
5.	王晓红. 小剂量芬太尼复合异丙酚用于无痛胃镜临床观察[J]. 河北医药, 2011, 33(2):224-225.
6.	Riphaus A, Geist F, Wehrmann T. Endoscopic sedation and monitoring practice in Germany:re-evaluation from the first nationwide survey 3 years after the implementation of an evidence and consent based National guideline[J]. Z Gastroenterol, 2013, 51(9):1082-1088.
7.	Fanti L, Agostoni M, Gemma M, et al. Sedation and monitoring for gastrointestinal endoscopy:a nationwide web survey in Italy[J]. Dig Liver Dis, 2011, 43(9):726-730.
8.	Cohen LB, Wecsler JS, Gaetano JN, et al. Endoscopic sedation in the United States:results from a nationwide survey[J]. Am J Gastroenterol, 2006, 101(5):967-974.
9.	Riphaus A, Lechowicz I, Frenz MB, et al. Propofol sedation for upper gastrointestinal endoscopy in patients with liver cirrhosis as an alternative to midazolam to avoid acute deterioration of minimal encephalopathy:a randomized, controlled study[J]. Scand J Gastroenterol, 2009, 44(10):1244-1251.
10.	Triantafillidis JK, Merikas E, Nikolakis D, et al. Sedation in gastrointestinal endoscopy:current issues[J]. World J Gastroenterol, 2013, 19(4):463-481.
11.	Oh JE, Lee HJ, Lee YH. Propofol versus midazolam for sedation during esophagogastroduodenoscopy in children[J]. Clin Endosc, 2013, 46(4):368-372.
12.	Wang D, Chen C, Chen J, et al. The use of propofol as a sedative agent in gastrointestinal endoscopy:a meta-analysis[J]. PLoS One, 2013, 8(1):e53311.
13.	Overley CA, Rex DK. A nursing perspective on sedation and nurse-administered propofol for endoscopy[J]. Gastrointest Endosc Clin N Am, 2004, 14(2):325-333.

1. 张树兵, 任建刚. 1200例无痛胃镜检查治疗体会[J]. 西南军医, 2007, 9(4):147-148.
2. 庞家武, 黄永昌, 蒙春霞. 无痛胃镜126例临床研究[J]. 华夏医学, 2007, 20(6):1217-1219.
3. 李岩, 孟瑞霞. 麻黄碱与异丙酚、芬太尼配伍用于无痛胃镜的临床观察[J]. 河南外科学杂志, 2007, 13(2):36-37.
4. 史文生, 吴小丽, 陈静. 不同麻醉方法在无痛胃镜检查中的临床观察[J]. 临床和实验医学杂志, 2011, 10(6):450-451, 453.
5. 王晓红. 小剂量芬太尼复合异丙酚用于无痛胃镜临床观察[J]. 河北医药, 2011, 33(2):224-225.
6. Riphaus A, Geist F, Wehrmann T. Endoscopic sedation and monitoring practice in Germany:re-evaluation from the first nationwide survey 3 years after the implementation of an evidence and consent based National guideline[J]. Z Gastroenterol, 2013, 51(9):1082-1088.
7. Fanti L, Agostoni M, Gemma M, et al. Sedation and monitoring for gastrointestinal endoscopy:a nationwide web survey in Italy[J]. Dig Liver Dis, 2011, 43(9):726-730.
8. Cohen LB, Wecsler JS, Gaetano JN, et al. Endoscopic sedation in the United States:results from a nationwide survey[J]. Am J Gastroenterol, 2006, 101(5):967-974.
9. Riphaus A, Lechowicz I, Frenz MB, et al. Propofol sedation for upper gastrointestinal endoscopy in patients with liver cirrhosis as an alternative to midazolam to avoid acute deterioration of minimal encephalopathy:a randomized, controlled study[J]. Scand J Gastroenterol, 2009, 44(10):1244-1251.
10. Triantafillidis JK, Merikas E, Nikolakis D, et al. Sedation in gastrointestinal endoscopy:current issues[J]. World J Gastroenterol, 2013, 19(4):463-481.
11. Oh JE, Lee HJ, Lee YH. Propofol versus midazolam for sedation during esophagogastroduodenoscopy in children[J]. Clin Endosc, 2013, 46(4):368-372.
12. Wang D, Chen C, Chen J, et al. The use of propofol as a sedative agent in gastrointestinal endoscopy:a meta-analysis[J]. PLoS One, 2013, 8(1):e53311.
13. Overley CA, Rex DK. A nursing perspective on sedation and nurse-administered propofol for endoscopy[J]. Gastrointest Endosc Clin N Am, 2004, 14(2):325-333.

Previous Article
慢性阻塞性肺疾病合并抑郁患者与肺性脑病抑郁状态研究分析
Next Article
脑电仿生电刺激仪治疗精神活性物质滥用者焦虑症的疗效观察

West China Medical Journal

以丙泊酚为麻醉剂的成人无痛胃镜的临床观察

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content