咪达唑仑联合丙泊酚对老年患者无痛胃镜检查麻醉效果及认知功能的影响 |
| 顾善娟 |
| 盐城新东仁医院，江苏盐城，224000 |
| 摘要：目的? 探讨咪达唑仑联合丙泊酚在老年患者无痛胃镜检查中的应用效果。方法? 选择2024年1月至2025年1月接诊的60例老年无痛胃镜检查患者，随机分组，对照组采用丙泊酚麻醉，研究组采用咪达唑仑联合丙泊酚麻醉，比较应用效果。结果? 研究组的丙泊酚用量小于对照组，且研究组的苏醒时间、定向力恢复时间较短（P＜0.05）；在T1、T2时观察，研究组的HR、MAP指标相对较低（P＜0.05）；在T3、T4、T5时观察，研究组的认知功能评分高于对照组（P＜0.05）；两组不良反应发生率无显著差异（P＞0.05）。结论? 采用咪达唑仑联合丙泊酚可达到较好的麻醉效果，对认知功能的影响较小，实际应用值得推广。 |
| 关健词：咪达唑仑；丙泊酚；无痛胃镜检查；麻醉；认知功能 |
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| The effect of midazolam combined with propofol on the anesthesia efffcacy and cognitive function of painless gastroscopy in elderly patients |
| Shanjuan Gu |
| Yancheng New Dongren Hospital, Yancheng Jiangsu 224000，China |
| Abstract：Objective To explore the application effect of midazolam combined with propofol in painless gastroscopy in elderly patients. Methods Sixty elderly patients who underwent painless gastroscopy from January 2024 to January 2025 were randomly divided into two groups. The control group was anesthetized with propofol, while the study group was anesthetized with midazolam combined with propofol. The application effects were compared. Results The dosage of propofol in the study group was lower than that in the control group, and the recovery time and directional force of the study group were shorter (P<0.05); At T1 and T2, the HR and MAP indicators of the study group were relatively low (P<0.05); At T3, T4, and T5, the cognitive function score of the study group was higher than that of the control group (P<0.05); There was no signiffcant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion The combination of midazolam and propofol can achieve good anesthesia effects with minimal impact on cognitive function, and its practical application is worth promoting. |
| Keywords：Midazolam; Propofol; Painless gastroscopy examination; Anesthesia; Cognitive Function |
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