小剂量长托宁在无痛肠镜中的应用

目的探讨在无痛肠镜检查麻醉前给予小剂量长托宁(盐酸戊乙奎醚)治疗的应用价值。方法我院2012年7月至2013年1月接受无痛肠镜检查患者90例,将其随机分为3组,每组30例,分别于麻醉前给予小剂量长托宁静注(小剂量组)、常规剂量长托宁静注(常规剂量组)及阿托品静脉注射(阿托品组),观察3组患者的下镜顺利程度、检查前后心率和平均动脉压及术后不良反应情况。结果 3组患者的总下镜顺利率和血氧饱和度比较未见明显差异,小剂量组在检查前后心率及平均动脉压方面作用明显优于常规剂量组及阿托品组,且小剂量组术后不良反应发生率明显低于常规剂量组及阿托品组。结论无痛肠镜检查麻醉前给予小剂量长托宁可明显提高检查效果,且可降低术后不良反应发生率。

Clinical research of small doses penehyclidine hydrochloride in painless colonoscopy

Objective To discuss the application value of small doses penehyclidine hydrochloride in painless colonoscopy examination. Methods From July 2012 to January 2013, 90 patients who planed to have painless colonoscopy were randomly divided into 3 groups with each group 30 cases. Before anesthesia, giving small doses of penehyclidine hydrochloride to small-dose group, giving conventional dose of penehyclidine hydrochloride to routine-dose group, and giving atropine intravenous administration to atropine group. Observe the smoothly de-gree, and check the heart rate, mean arterial pressure and postoperative adverse reactions of three groups. Results There was no obvious difference among the three groups in trems of smooth degree and oxyhemoglobin saturation. In small-dose group, heart rate and mean arterial pressure before and after the examination were better than that of routine-dose group and atropine group, and there were obviously lower inci-dence of postoperative adverse reaction compared with the routine-dose group and atropine group. Conclusion Giving small-dose of penehy-clidine hydrochloride before anesthesia of painless colonoscopy examination can significantly improve the effect of examination, and it can re-duce the incidence of postoperative adverse reactions.