重庆医学 Chongqing Medicine ISSN 1671-8348,CN 50-1097/R
、离科时间及麻醉前、进镜时、手 术后 10 min 和术毕时的血流动力学指标[心率（HR）、收缩压（SBP）及血氧饱和度（SpO2）]及 BIS 值变化情况、麻醉相关并发症、术后并发症等的差异。结果：试验组苏醒时间和离科时间较对照组明 显缩短，差异有统计学意义（P<）。两组麻醉前 HR、SBP、SPO2 比较，差异无统计学意义（P>）， 但手术后 10 min 和术毕时，试验组 HR、SBP、SPO2 优于对照组（P<）；两组各时点 BIS 值比较 无差异（P>）。试验组注射痛发生率低于对照组（P<），但试验组未发生术后严重并发症， 对照组出现 1 例术后迟发出血，经积极对症止血治疗后缓解。结论：瑞马唑仑联合阿芬太尼用于治疗 性 ERCP 安全可行。 关键词：甲苯磺酸瑞马唑仑；阿芬太尼；丙泊酚；经内镜逆行胰胆管造影术；脑电双频指数 Analysis on application of remazolam combined with alfentanil in therapeutic endoscopic retrograde cholangio-pancreatography LIU Huimin, FU Weidong, MAO Xincheng△ (Department of Anesthesiology, Zhuzhou Central Hospital, Zhuzhou,Hunan 412007,China) [Abstract]Objective:To investigate the effectiveness and safety of remazolam combined with alfentanil in therapeutic endoscopic retrograde cholangio-pancreatography (ERCP). Methods:64 cases of patients undergoing ERCP in our hospital were randomly divided into control group and research group,each were 32 control group were anesthetized with propofol combined with alfentanil, while the research gro
