舒芬太尼联合丙泊酚在无痛胃肠镜中的应用

崔 茂排¹, 何 蔚楹¹, 刘 武飞¹, 常 仁杰², 王 超琴²
1、云南省中医医院麻醉科
2、云南省中医医院消化内镜中心

摘要

目的：探讨舒芬太尼联合丙泊酚在无痛胃肠镜中的临床价值。方法：随机选取2021年9月-10月的无痛胃
肠镜病例120例，分为老年组A（n=27）、中年组B（n=44）、青年组（n=49）。（1）分析比较丙泊酚舒芬太尼麻醉下
老、中、青三个年龄段SBP、DBP、MBP、HR在麻醉诱导3min前后的差值变化；（2）对比分析麻醉诱导后3min时
SPO2的变化。（麻醉用药：丙泊酚60岁以下2mg/Kg，大于等于60岁1.5mg/Kg，舒芬太尼0.03-0.05ug/Kg）结果：SBP
下降：A组分别B组和C组相比均有统计学意义（P＜0.05）；DBP、MBP、HR在三个组别无差异；SPO2下降：A
组与B相比、B组与C组相比均有统计学意义（P＜0.05）。结论：丙泊酚舒芬太尼麻醉下，老年患者SBP下降明显，
DBP、MBP、HR在各年龄段的改变无差异，SPO2随年龄段的增加呈现下降，但均能维持在90%以上。

关键词

无痛胃肠镜；麻醉；BP；HR；SPO2

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