You Position: Home > Paper
Evaluation of conscious sedation with midazolam for endoscopic retrogradecholangiopancreatography
( views:198, downloads:16 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PANCREATOLOGY
- Issue:
- 5
- DOI:
- 10.3760/cma.j.issn.1674-1935.2007.05.003
- Key Word:
- 胰胆管造影术,内窥镜逆行;咪达唑仑;清醒镇静
Abstract： 目的 探讨咪达唑仑在ERCP中的镇静作用.方法 将100例拟行ERCP检查和治疗的患者随机分为试验组和对照组,每组50例.两组术前均常规口服利多卡因止痛胶,给予氢溴酸山莨菪碱10 mg静脉注射.试验组同时静脉注射咪达唑仑(0.06 mg/kg体重).监测患者术前、术中、术后的BP、HR、SPO2.观察两组患者的手术操作时间、镇静程度、手术依从性和耐受性及术后次日对操作的遗忘程度和满意度.结果 试验组患者围术期BP、HR平稳;镇静程度适中,依从性和耐受性良好;术后患者对操作遗忘程度及满意度较高,与对照组比较,差异均有显著性(P＜0.05或P＜0.01).结论 ERCP术前静脉注射咪达唑仑可提高麻醉效果,有利于患者配合手术.
- [1]张建辉,聂瑞霞,李黎,等.不同剂量咪唑安定顺行性遗忘作用观察[J].2005,(3).
- [2]Manns MP,Meier PN,Piepenbrock S,etc.Evaluation of endoscopic retrograde cholangiopancreatography under conscious sedation and general anesthesia.[J].2002,34(9).
- [3]Kuczkowski, K. M..Endoscopic retrograde cholangiopancreatography: with or without anesthesia?[J].2007,21(1).
- [4]Gursoy S,Bagcivan I,Kaya T,etc.In vitro effects of intravenous anesthetics on the sphincter of Oddi strips of sheep.[J].2005,5(2).
- [5]D, Mazzon,B, Germanà,D, Poole,etc.Conscious sedation during endoscopic retrograde colangiopancreatography: implementation of SIED-SIAARTI-ANOTE guidelines in Belluno Hospital.[J].2005,71.
- [6]Dumonceau JM,Vonlaufen A.Pancreatic endoscopic retrograde cholangiopancreatography (ERCP).[J].2007,39(2).
- [7]L D, Sanders,J, Davies-Evans,M, Rosen,etc.Comparison of diazepam with midazolam as i.v. sedation for outpatient gastroscopy.[J].1989,63.
- [8]Gozal Y,Granot E,Gozal D,etc.Complicated endoscopic pediatric procedures using deep sedation and general anesthesia are safe in the endoscopy suite.[J].2004,39(3).