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目的:观察丙泊酚联合芬太尼在儿童结肠镜检查中应用的效果及安全性。方法:选择应用丙泊酚联合芬太尼静脉麻醉下行结肠镜检查的50例患儿为观察组,同期行常规肠镜检查的50例为对照组,对两组患儿检查过程中血压、心率、血氧饱和度、检查反应和操作时间等进行分析。结果:观察组检查中血压、心率无明显变化(P>0.05),对照组检查中血压、心率均明显增加(P<0.05);两组检查中血氧饱和度无明显变化(P>0.05);观察组较对照组在检查中的不良反应少,入镜时间短。结论:丙泊酚联合芬太尼用于儿童无痛结肠镜检查安全、有效。
Objective: To observe the effect and safety of propofol combined with fentanyl in pediatric colonoscopy. Methods: Fifty children undergoing colonoscopy with intravenous propofol combined with fentanyl were selected as the observation group. 50 cases underwent routine colonoscopy over the same period as the control group. Blood pressure, heart rate , Oxygen saturation, check the reaction and operation time analysis. Results: The blood pressure and heart rate of the observation group had no significant changes (P> 0.05), while the blood pressure and heart rate of the control group increased significantly (P <0.05). There was no significant change in the oxygen saturation between the two groups (P> 0.05) ; Observation group than the control group in the adverse reactions less, into the mirror time is short. Conclusion: Propofol combined with fentanyl is safe and effective for child painless colonoscopy.