Efficacy and safety of remimazolam besylate and ciprofol in painless gastrointestinal endoscopy in the elderly.

Acta cirurgica brasileira Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI:10.1590/acb399324
Ziwei Zhu
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Abstract

Purpose: This study aimed to ascertain the efficacy and safety of remimazolam besylate and ciprofol in elderly patients undergoing painless gastrointestinal endoscopy.

Methods: Patients in the control group (n = 31) were anesthetized with ciprofol, and those in the observation group (n = 31) were anesthetized with remimazolam besylate. The anesthetic effect, analgesic effect, hemodynamics, cognitive function, and adverse reactions between the two groups were compared.

Results: The observation group had shorter anesthesia onset time, recovery time, as well as anesthesia recovery room stay time and a higher effective rate of analgesia. At T1, T2, and T3, the mean arterial pressure and heart rate of the observation group were higher versus the control group; at T1 and T2, SpO2 in the observation group was higher versus the control group. The simple mental state scale score of the observation group was higher than that of the control group (all p 0.05). The total incidence of adverse reactions exhibited no difference between the two groups (p> 0.05).

Conclusion: Versus ciprofol, remimazolam besylate has better anesthetic and analgesic effects, more stable hemodynamics, less impact on patients' cognitive function, and good safety in elderly patients undergoing painless gastrointestinal endoscopy.

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苯磺酸雷马唑仑和环丙酚在老年人无痛胃肠内镜检查中的疗效和安全性。
目的:探讨苯磺酸雷马唑仑和环丙酚在老年无痛胃肠内镜检查中的疗效和安全性。方法:对照组(31例)采用环丙酚麻醉,观察组(31例)采用苯磺酸雷马唑仑麻醉。比较两组麻醉效果、镇痛效果、血流动力学、认知功能及不良反应。结果:观察组患者麻醉起效时间、恢复时间、麻醉恢复室停留时间短,镇痛有效率高。在T1、T2、T3时,观察组平均动脉压、心率均高于对照组;T1、T2时,观察组SpO2高于对照组。观察组患者简单心理状态量表得分高于对照组(p均0.05)。两组不良反应总发生率差异无统计学意义(p < 0.05)。结论:与环丙酚相比,贝磺酸雷马唑仑麻醉镇痛效果更好,血流动力学更稳定,对患者认知功能影响较小,安全性好。
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