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目的:观察小剂量芬太尼用于无痛胃镜检查的临床效果。方法:选取2013年1月-2013年6月收治的258例无痛胃镜检查患者为观察组(小剂量芬太尼+丙泊酚组)和258例普通胃镜检查患者为对照组(普通胃镜),观察比较两组患者的检查效果。结果:两组患者均成功实施胃镜检查.观察组与对照组手术时间、术后清醒时间比较均无明显差异(P>0.05),但术中痛苦反应次数及患者满意度比较均有明显差异(P<0.05),具有统计学意义。结论:小剂量芬太尼可提高无痛胃镜的麻醉效果.降低术中痛苦反应次数,提高患者满意度.值得临床推广使用。
Objective: To observe the clinical effect of small dose of fentanyl for painless gastroscopy. Methods: A total of 258 patients with painless gastroscopy admitted to our hospital from January 2013 to June 2013 were selected as the observation group (low-dose fentanyl + propofol group) and 258 cases of common gastroscopy as the control group (common gastroscope) , Observe and compare the test results of two groups of patients. Results: Gastroscopy was successfully performed in both groups.The operative time and awake time in the observation group and the control group showed no significant difference (P> 0.05), but the number of painful reactions and patient satisfaction were significantly different P <0.05), with statistical significance. Conclusion: A small dose of fentanyl can improve the anesthesia effect of painless gastroscopy, reduce the number of intraoperative painful reactions and improve patient satisfaction, which is worthy of clinical promotion.