无痛胃镜的临床研究与应用
【摘要】目的：应用无痛苦性胃镜术，能使患者能在安全、舒适、无痛苦状态下进行胃镜检查和治疗。方法：术前准备除按常规胃镜检查外，应配备多功能监护仪、氧气瓶、急救药品。检查前5~10min口服2%的利多卡因胶浆或盐酸达克罗宁胶浆麻醉咽喉部后，再以40mg/10s的速度静脉注射丙泊酚，同时观察患者的反应调整给药速度，直至临床体征表明麻醉起效，患者进入睡眠状态下，立即进行胃镜检查。术中术后严密观察血氧饱和度。结果：1480例患者中，只有4例患者出现血氧饱和度轻度下降，给予高流量吸氧静脉注射0.4mg纳洛酮后好转，并顺利完成检查。其余患者未发生严重的副反应。无痛胃镜术后一般5~10min内清醒。受检患者100%满意。结论：无痛苦胃镜检查是一种安全、有效、舒适的新技术，值得推广。【关键词】无痛胃镜；应用
Painless gastroscope Clinical Research and Application
HOU Chunying
【Abstract】Objective: no pain in gastroscope and so that patients can be in a safe, comfortable, pain free status under the gastroscope examination and treatment. Method: preoperative preparation Except for routine gastroscopy, should be equipped with multi-function monitor, oxygen cylinders, first-aid medicines. Check before 5 ~ 10 min oral 2% lidocaine hydrochloride Dyclonine mortar mortar or narcotic throat, and then to 40 mg/10s the speed of intravenous injection of propofol, and observation of patients with the response speed of adjustment administration, Until the clinical signs indicate that the onset anesthesia, the patient to sleep, immediately gastroscopy. After close observation of the oxygen saturation. Results: 1,480 cases of patients, only four cases of people with mild decline in oxygen saturation, high-flow oxygen to 0.4 mg intravenous naloxone after the turn for the better, and the successful completion of inspection. The remaining patients with no serious side effects. General painless gastroscope after 5 ~ 10 min, sober. Subjects with 100 percent satisfaction. Conclusion: No pain gastroscopy is a safe, effective and comfortable new technologies, should be promoted. ......
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