Clinical research on percutaneous endoscopic gastrostomy and percutaneous endoscopic jejunostomy without pain at bedside in critical patients / 重庆医科大学学报

ABSTRACT

Objective:To investigate the effects of critical patients who were treated with percutaneous endoscopic gastrostomy(PEG)or percutaneous endoscopic jejunostomy(PEJ)with propofol at bedside.Methods:Tirty-eight patients,who were admitted in the ICU of the first affiliated hospital of the Chongqing medical university between August 2006 and December 2008,were randomly divided into P-group (propofol group)and DM-group.(diazepam combined with midazolam group).Electrocardio waveform,breath(Br),SPO2 and blood pressure were monitored and recorded from 10 min before operation to the time with the patients'Ramsay≤Ⅱafter operation (postoperative monitoring≥10min).And recorded the persistence time of operation,awaken time and subjective anamnesis were recorded at 30min after operation.Results:In the operation,the heart rate(HR)in P-group was(72.20?8.96)/min,which was significantly decreased compared with DM-group.The Br was(16.72?8.46)/min in P-group during operation,which was significantly decreased compared with DM-group,and the SPO2 in P-group was(94.87?3.52)%,which was significantly increased compared with DM-group(P