Anaesthesia method capable of protecting neurological functions of gastroscope patients

Abstract

The invention discloses an anaesthesia method capable of protecting neurological functions of gastroscope patients and belongs to the technical field of anaesthesia methods. A control group comprisesNS+propofol of 1mg / kg, a fentanyl group including fentanyl of 0.8ug / kg and propofol of 1mg / kg; a remifentanil group including remifentanil of 0.5ug / kg and propofol of 1mg / kg; a sufentanil group including sufentanil of 0.08ug / kg and propofol of 1mg / kg; and a nalbuphine group including nalbuphine of 0.10mg / kg and propofol of 1mg / kg. After the dosage of medicines is calculated according to the weightof a gastroscopy patient, the components in each group are diluted to 1ml / kg with a 0.9% sodium chloride injection solution, besides, medicine injection sequence is arranged, the injection speeds ofthe front two medicines are respectively controlled to be 60s according to the scheduled medicine injection sequence and according to a chronograph by a person specially assigned, the medicine injection time at intervals is 60s, the third medicine is continuously injected, the pushing injection speed of the propofol is 1ml / 6s, after eyelash reflection disappears, gastroscopy is begun, the propofolof 0.5-1mg / kg is additionally injected appropriately for body movement during a surgery, the pulse rate during the surgery is lower than 50 times / minute, intravenous injection of atropine is performed, the contractive pressure is 30% lower than a basic value, intravenous injection of ephedrine is performed, SPO2 is lower than 90%, and a face guard is used for assisting in breathing.

Description

technical field [0001] The invention relates to an anesthesia method, in particular to an anesthesia method for protecting the nerve function of gastroscopy patients, and belongs to the technical field of anesthesia methods. Background technique [0002] With the increasing number of outpatient minor operations in the world (North American outpatient operations have reached 70% of elective operations), the role of anesthesiologists in outpatient minor operations is also becoming more and more prominent. Due to the special situation in China, it is not realistic to carry out outpatient short surgery on a large scale. However, after all, it is a development trend to carry out outpatient short surgery. [0003] At present, in China, anesthesiologists participate in outpatient short operations, mainly painless abortion and painless gastrointestinal endoscopy. Although the risks of these operations are relatively small, the pain is very obvious. The intervention of the anesthes...

AI Technical Summary

Problems solved by technology

[0007] Preliminary studies have found that remifentanil, fentanyl, and sufentanil have more obvious respiratory depression effects and a higher incidence of apnea, and there are still certain safety hazards; at the same time, the recognition of patients (especially elderly patients) undergoing gastroscopy However, most of the studies are small-sample single-center studies, and have not been verified in multi-center large-sample populations, which have certain limitations