[1]刘 帆,周东旭.艾司氯胺酮联合经鼻高流量湿化氧疗在经十二指肠镜逆行胆胰管造影中的应用[J].介入放射学杂志,2022,31(07):675-678.
 [J].journal interventional radiology,2022,31(07):675-678.
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艾司氯胺酮联合经鼻高流量湿化氧疗在经十二指肠镜逆行胆胰管造影中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年07
页码:
675-678
栏目:
非血管介入
出版日期:
2022-09-03

文章信息/Info

作者:
刘 帆 周东旭
关键词:
【关键词】 艾司氯胺酮 高流量湿化氧疗 经十二指肠镜逆行胆胰管造影
文献标志码:
A
摘要:
【摘要】 目的 探讨艾司氯胺酮联合经鼻高流量湿化氧疗(high- flow nasal cannula oxygen therapy,HFNC)在经十二指肠镜逆行胆胰管造影(endoscopic retrograde cholangiopancreatography, ERCP)中的应用。 方法 选择襄阳市中心医院拟行ECRP的患者90例,随机分为A、B、C 3组。A组患者采用丙泊酚+阿芬太尼+鼻导管低流量吸氧,B组患者采用丙泊酚+阿芬太尼+HFNC,C组患者采用丙泊酚+艾司氯胺酮+HFNC。统计3组患者丙泊酚、阿芬太尼或艾司氯胺酮总用量、手术时间、苏醒时间、医生及患者的满意度,记录3组患者入手术室(T1)、麻醉诱导完成后(T2)、手术开始时(T3)、手术开始5 min(T4)、手术结束时(T5)、进入麻醉恢复室时(T6)、进入麻醉恢复室10 min(T7)、进入麻醉恢复室20 min(T8)、出恢复室时(T9)生命体征(HR、MAP、SPO2、 PTCCO2)变化。 结果 3组患者一般情况、手术时间、苏醒时间、医生及患者的满意度比较,差异均无统计学意义(均P>0.05);C组患者丙泊酚用量明显低于A、B两组,差异有统计学意义(P<0.05); T1时刻3组患者生命体征相比差异无统计学意义,T2- T5时刻A、B两组患者HR、MAP明显低于C组差异有统计学意义(P<0.05),T3- T5时刻A组的PTCCO2明显高于B、C两组,差异均有统计学意义(均P<0.05)。结论 艾司氯胺酮联合HFNC可以减少ERCP手术患者术中丙泊酚用量,不影响患者苏醒时间而且可以减少呼吸循环并发症的发生。

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备注/Memo

备注/Memo:
(收稿日期:2021- 08- 07)
(本文编辑:新 宇)
更新日期/Last Update: 2022-09-02