Nursing of patients with orderly gastroscopy and colonoscopy combined examination under anaesthesia

Abstract

Objective To compare the different order selection in gastroecopy and eolonescopy combined examination under anaesthesia with propofol and summarize the clinical nursing experience.Methods 432 patients received painless gastroscopy and colonoscopy combined examination under anaesthesia were divided randomly imo two groups,experimental group of 217 eases of patients received gastrescopy examination earlier than colonoscopy examination.On the contrary,control group of 215 cases of patients received colonoscopy examination prior to gastroscopy examination.All of the patients were injected with 1.5～2.0 mg/kg propofol at a slow speed by anaesthetists.After patients' eyelash reflex disappeared,the examination of gastrointestinal endoscopy began.The dosage of the propofol increased according to patients' situation during the examination.The indicators including dosage of the propofol,analepsia time,blood pressure,heart rates,pulse oxygen saturation,respiration,adverse reactions and complications were observed and compared between two groups.Results 432 patients completed the examination of the gastrointestinal endoscopy successfully.There was significant difference in the average dosage of propofol,experimental group was (275±20) nag and control group was (385±30) mg respectively.In addition,the average of analepsia time in experimental group was shorter than control group.However,the rest of indicators were no significant differences between two groups.The results showed that experimental group was better than control group.Conclusions If the examination of gastroecopy was carried out earlier than colonescopy,there are many benefits such as less dosage of propofol,shorter analepsia time and less risks of anesthesia.Nursing interventions in ECG monitoring,oxygen and establish intravenous access,sedation,and other critical observation are very important during examination of gastrointestinal endoscopy under anaesthesia with propofol. Key words: Anaesthesia; Propofol; Nursing; Gastrointestinal endoscopy