一氧化二氮联合咪达唑仑镇静在老年结肠镜检查中的效用分析
投稿时间:2015-08-17  修订日期:2015-09-24  点此下载全文
引用本文:周锋,郑培奋,张虹,陈新宇,冯玉良,王卫峰,朱琴.一氧化二氮联合咪达唑仑镇静在老年结肠镜检查中的效用分析[J].医学研究杂志,2016,45(4):142-145
DOI: 10.11969/j.issn.1673-548X.2016.04.037
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作者单位E-mail
周锋 310013 杭州, 浙江医院  
郑培奋 310013 杭州, 浙江医院 kuaidou09@163.com 
张虹 310013 杭州, 浙江医院  
陈新宇 310013 杭州, 浙江医院  
冯玉良 310013 杭州, 浙江医院  
王卫峰 310013 杭州, 浙江医院  
朱琴 310013 杭州, 浙江医院  
中文摘要:目的 与普通结肠镜检查相比,研究老年患者中一氧化二氮联合咪达唑仑镇痛镇静方法的可行性。方法 将2014年1月~2014年12月在笔者医院自愿行一氧化二氮联合咪达唑仑镇静镇痛结肠镜检查的388例60岁及以上的老年患者作为无痛肠镜组,同期行普通肠镜检查的174例老年患者作为普通肠镜组,对其镇静程度、检查时间、术后恢复时间、心率、平均动脉压、血氧饱和度、不良反应、医患满意度等进行比较分析。结果 无痛肠镜组患者以轻中度镇静为主,肠镜进镜检查时间为6.6±2.7min,明显短于普通肠镜组(7.6±3.9min,P<0.05),恢复时间为50.0±14.5s,术中心率和平均动脉压较术前降低,但在安全范围内,血氧饱和度无明显改变。无痛肠镜组医患满意度及不适反应均显著优于普通肠镜组(P<0.05)。结论 一氧化二氮联合咪达唑仑镇痛镇静在老年患者结肠镜检查操作中具有可行性。
中文关键词:一氧化二氮  咪达唑仑  镇痛镇静  老年肠镜
 
Safety and Efficacy of Nitrous Oxide Combined with Midazolam in Elderly Colonoscopy
Abstract:Objective To evaluate the availability of nitrous oxide (N2O)combined with midazolam in elderly colonoscopy. Methods A total of 562 elderly patients who underwent colonoscopies from January to December 2014 were divided into analgesia group (N2O with midazolam colonoscopy, n=388) and conventional group(conventional colonoscopy, n=174). Sedative effects, adverse reactions of all patients were observed.Heart rate, mean blood pressure and oxygen saturation were monitored before, during and after colonoscopies. Operating time and recovery time were recorded. Patients' and doctors' self-feelings were recorded by questionnaire survey after colonoscopies. Results N2O with midazolam colonoscopy group were in status of mild-to-moderate sedation, and operating time was 6.6±2.7 min which was decreased (P<0.05) compared with conventional group, and the recovery time was 50.0±14.5s.The heart rate and mean blood pressure during operating were decreased slightly but in safe intervals compared with that of before operating in analgesia group, and no statistical significance was detected in oxygen saturation.The adverse reaction incidence, satisfaction were better in analgesia group (P<0.05). Conclusion N2O combined with midazolam in elderly colonoscopy is feasible.
keywords:Nitrous oxide  Midazolam  Sedation  Elderly colonoscopy
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