连志鹏 张铨
[摘要]意图 對比剖析晚年无痛胃镜麻醉中单纯使用丙泊酚与其联合右美托咪定的临床作用。办法 将我院2016年3月～2017年9月承受无痛胃镜查看的88例晚年患者作为调查目标，按照硬币法分为对照组（n=44）和调查组（n=44）。对照组患者予以丙泊酚麻醉，调查组患者予以丙泊酚联合右美托咪定麻醉，对两组患者麻醉诱导时刻、复苏时刻、查看中并发症及查看后不良反应发作状况予以计算比较。成果 调查组患者麻醉诱导时刻、复苏时刻短于对照组，分别为（133.8±19.4）s vs.（147.7±20.6）s、（95.2±16.2）s vs.（116.5±22.4）s，差异有计算学含义（P<0.05）。调查组患者并发症发作率低于对照组，分别为4.5%、18.2%，两组差异有计算学含义（P<0.05）。调查组患者不良反应发作率为4.5%，与对照组患者（11.4%）比较，差异无计算学含义（P>0.05）。定论 晚年无痛胃镜麻醉使用丙泊酚联合右美托咪定的作用愈加明显，不仅可缩短麻醉诱导时刻与复苏时刻，还可削减并发症的发作，具有安全、牢靠的特色，值得在临床中与推行与使用。
[关键词]无痛胃镜；丙泊酚；右美托咪定；麻醉
[中图分类号] R614 [文献标识码] A [文章编号] 1674-4721（2018）4（c）-0070-03
Effect of Dexmetomidine combined with Propofol anesthesia on senile painless gastroscopy
LIAN Zhi-peng ZHANG Quan
Department of Anesthesiology，95th Hospital of PLA，Fujian Province，Putian 351200，China
[Abstract]Objective To compare the clinical effect of gastroscopy anesthesia in the elderly treated with Propofol combined with Dexmedetomidine.Methods A total of 88 elderly patients who received painless gastroscopy during the period from March 2016 to September 2017 were selected as observation subjects，and they were divided into control group（n=44） and observation group（n=44） according to the coin method.The control group patients were given Propofol anesthesia，the observation group patients were given Propofol combined Dexmetomidine on anesthesia，two groups of patients anesthesia induction time，recovery time，check the complications and adverse reactions after the test were compared.Results The observation group of patients anesthesia induction time，wake up of time was shorter than that in the control group patients，data respectively（133.8±19.4） s vs.（147.7±20.6） s，（95.2±16.2） s vs. （116.5±22.4） s，the two groups was statistically difference（P<0.05）.The incidence of complications in the observation group was lower than that in the control group，and the data were 4.5% and 18.2%，respectively，and the comparison of the two groups was statistically significant（P<0.05）.The incidence of adverse reactions in the observation group was 4.5%，compared with 11.4% in the control group，no statistical difference（P>0.05）.Conclusion The effect of Propofol combined with Dexmedetomidine in elderly patients with painless gastroscopy anesthesia is more significant，not only can shorten the induction time and recovery time of anesthesia，but also can reduce the occurrence of complications，with safe and reliable features，it is worth in the clinical further application and promotion.
