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目的观察地佐辛联合依托咪酯用于无痛胃镜检查的有效性及安全性。方法行无痛胃镜检查患者184例,随机分为观察组和对照组各92例,对照组静脉注射依托咪酯0.3mg/kg;观察组静脉注射地佐辛30μg/kg,密切观察10min后静脉注射依托咪酯0.2mg/kg;观察2组血流动力学指标,比较2组苏醒时间、定向恢复时间、满意程度评分及不良反应发生情况。结果 2组均顺利完成检查,检查期间血流动力学指标稳定;与对照组比较,观察组满意程度评分高,苏醒时间、定向恢复时间短,依托咪酯用量少,术中烦躁发生率低(P<0.05)。结论地佐辛联合依托咪酯用于老年患者无痛胃镜检查可提高患者的满意程度,降低不良反应发生率。
Objective To observe the efficacy and safety of dezocine combined with etomidate for painless gastroscopy. Methods 184 patients with painless gastroscopy were randomly divided into observation group and control group, 92 cases in each group. The control group received intravenous etomidate 0.3 mg / kg. The observation group received intravenous dezocine 30 μg / kg, and the vein was observed 10 minutes later The patients were injected with etomidate 0.2 mg / kg. The hemodynamics of the two groups were observed. The recovery time, the recovery time, the satisfaction score and the incidence of adverse reactions were compared between the two groups. Results The two groups were successfully completed the examination, during the hemodynamic indicators stable; compared with the control group, the observation group satisfaction score high, recovery time, orientation recovery time is short, less consumption of etomidate, the incidence of intraoperative irritability (P <0.05). Conclusion Dezocine combined with etomidate for senile patients with painless gastroscopy can improve patient satisfaction and reduce the incidence of adverse reactions.