Effect of emulsifying etomidate combined anesthesia in painless gastroscopy

Objective To study the effect of emulsifying etomidate combined anesthesia in painless gastroscopy. Methods A total of 300 patients who had painless gastroscopy were divided into fentanyl and propofol group( group A),fentanyl and etomidate group( group B) and etomidate,fentanyl and midazolam mixture group( group C),with 100 patients in each group. The intraoperative indices such as induction time,inspection time,awakening time and so on of the patients were observed. Intraoperative adverse reactions and postoperative adverse reactions were also observed. Results The induction time of group C was lower significantly than that of group A( P 0. 01). The waking time was longer significantly in group B and group C compared with that of group A( P 0. 01),which was longer in group C compared with group B( P 0. 01). The incidence of intraoperative apnea,injection pain and hypotension in group B and group C was obviously lower than that of group A( P 0. 01). The incidence of muscle spasm in group B and group C was obviously higher than that in group A( P 0. 01, P 0. 05). The hypotension incidence of patients in group C was obviously higher than that of group B( P 0. 01). The incidence of muscle spasm in group C was obviously lower than that in group B( P 0. 05). The incidence of postoperative dizziness and pain at the injection site in group B and group C was obviously lower than that in group A( P 0. 01). The incidence of postoperative nausea and vomiting in group C was obviously less than that in group A and group B( P 0. 01); the incidence of postoperative pain at the injection site in group C was obviously lower than that in group B( P 0. 01). Conclusion The anesthesia effect of emulsifying etomidate combined with fentanyl and midazolam used in painless gastroscopy is satisfied.