目的：应用丙泊酚在静脉麻醉下行胃镜技术在临床操作中体会。方法随机分观察组（400例）和对照组（500例）。观察组开放静脉输液生理盐水，再缓慢静脉注射丙泊酚注射液（迪施宁），术中术后严密观察患者呼吸、心跳、血氧饱和度。对照组常规用盐酸利多卡因胶浆口含麻醉10min后即开始检查。结果观察组均能完成检查，检查成功率为100%，未发生严重不良反应。患者满意度100%，胃镜复查率90%。结论无痛胃镜技术操作的术前、术中、术后应严密观察事态发展并给予相应处理，避免给患者造成不必要的伤害，使无痛胃镜技术得到广泛开展、应用。%Objective Discusses application of propofol in intravenous anesthesia downlink gastroscopy in the clinical work experience. Methods Randomly divided into observation group (400 cases) and control group (500 cases). Open intravenous saline observation group, and then slow intravenous injection of propofol injection (Di Shining), intraoperative and postoperative close observation of the patient breathing, heart rate, oxygen saturation. The control group using conventional mouth with anesthetic Lidocaine Hydrochloride Mucilage start checking after 10min. Results That observation group all successfully completed inspection, check the success rate was 100%, the stable vital signs, no serious adverse reaction. Patient satisfaction was 100%, the effective rate gastroscope rate was 90%. Conclusions Gastroscopy technical operations in the preoperative, intraoperative and postoperative developments should be closely observed and appropriate treatment, to avoid causing unnecessary harm to patients, so painless gastroscope technology has been widely carried out, the application.
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