瑞马唑仑用于老年无痛胃肠镜检查的研究进展

Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i1.11805

蒋伟, 罗红霞

重庆医科大学附属永川医院

Abstract

胃肠镜是临床常用的诊疗方式,但是由于胃肠镜是侵入性操作,刺激胃肠道后会诱导交感神经发生过度兴奋,进而导致血压升高、躁动等应激反应发生。尤其是对于老年患者而言,自身耐受度低,更容易发生应激反应,近年来无痛胃肠镜的出现为这一问题的解决提供了新途径。瑞马唑仑作为最常用的无痛胃肠镜麻醉药物之一在临床上应用比较广泛。为了更好的了解瑞马唑仑在老年无痛胃肠镜检查中的应用情况,笔者对近年来的相关文献进行了综述,阐述了瑞马唑仑的麻醉机制及优势,介绍了在老年患者胃肠镜检查中瑞马唑仑联合用药情况以及使用剂量,认为瑞马唑仑对患者具有循环影响小、呼吸抑制轻、快速恢复、剂量较小且药物追加次数少、安全性高等优势,但是如何选择最优的麻醉方案仍然需要更多的临床研究。

Keywords

瑞马唑仑;老年;无痛胃肠镜;苯二氮卓

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