Effects Of Different Proportion Of Etomidate Combined With Propofol On Painless Gastroscopy In Elderly Patients Were Evaluated

Objective:To investigate the clinical value and safety of etomide and propofol in the examination of painless gastroscopy in elderly patients,and to study a relatively good ratio scheme.Methods:90 elderly patients with painless gastroscopy were examined in our hospital from October 2017 to June 2018.Random group P?simple 1%propofol?,EP1group?0.2%etomide 10MG mixed with 1%propofol 150mg,capacity ratio 1:3?,EP2group?0.2%etomidate 20mg mixed with 1%propofol 200mg,capacity ratio 1:2?,30cases per group.Record the heart rate?HR?,pulse oxygen saturation?SpO₂?,average arterial pressure?MAP?before anaesthesia?T1?,into the esophagus?T2?,and end ofanaesthesia?T3?of the patient and observe the patient's recovery time,outoventricular time,and adverse reactions.situation.Results:Before anesthesia?T1?and at the end of anesthesia?T3?,there was nosignificant difference among the three groups?P>0.05?,but heart rate?HR?,pulse oxygen saturation?SpO ₂?,mean arterial pressure?MAP?in group P at esophageal intake?T2?were significantly lower than those in group EP1 and EP2?P<0.05?,but there was no significant difference between group EP1 and EP2?P>0.05?.The addition of etomidate did not prolong the recovery time and the time of leaving the room?P>0.05?.The adverse reactions of respiratory depression?hypoxemia?,circulatory depression?hypotension?and injection pain in EP1 group and EP2 group were lower than those in P group?P<0.05?,and the adverse reactions of muscle spasm in EP2group were higher than those in P group and EP1 group?P<0.05?.There was nosignificant difference in nausea and vomiting among the three groups?P>0.05?.Conclusion:The effect of etomidate combined propofol on the circulatory system and respiratory system of patients is small,the incidence of injection pain is low,and the combination of small doses?0.2%etomidate 10 mg and 1%propofol 150 mg mixed,the capacity ratio 1:3?The incidence of muscle fibrillation is lower when applied.It is a safe and effective method of anesthesia and is worth promoting.