The clinical observation of propofol with remifentanil anesthesia on the effection of upper gastrointestinal peristalsis in painless gastroscopy / 中国基层医药

ABSTRACT

Objective To discuss the application effect of joint remifentanil propofol anesthesia on upper gastrointestinal peristalsis in the painless gastroscopy.Methods 130 patients who taken painless gastroscopy were choosed,and using the random number table method,they were divided into the observation group and control group. Propofol anesthesia was used in the control group,joint remifentanil anesthesia was used in the observation group,and the anesthetic effect were recorded.Results In the observation group group,the excellent rate of anesthesia was 93.85%,the control group was 80.00%,there was statistically significant difference between the two groups (χ2 =5.481,P <0.05).The propofol dosage in the observation group was (1.73 ±0.24)mg/kg,patients awake time was (5.91 ±1.03)min,and departure from the hospital time was (14.58 ±2.79)min,while in the control group,the propofol dosage was (3.06 ±0.57)mg/kg,patients awake time was (9.44 ±1.87)min,and departure from the hospi-tal time was (22.05 ±4.86)min,there were statistically significant difference between the two groups (t =17.337, 13.330,10.747,all P <0.05).24 cases of observation group of patients with mild 36 cases,moderate,severe in 5 cases;23 cases of control group in patients with mild and moderate 27 cases,15 cases were severe,there was statistically significant difference between the two groups (χ2 =5.376,P <0.05).Conclusion Joint remifentanil propofol used in painless gastroscopy of anesthesia is better than only propofol anesthesia,and with little impact on patients with upper gastrointestinal system,it can reduce the dosage of propofol,shorten the patient awake time and time of departure from the hospital,so it is worth popularization and application in clinic.