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简介：　　【摘 要】目的：分析胃肠镜检查术应用依托咪酯复合丙泊酚静脉麻醉的效果。方法：本次研究对象为本院在 2018年 7月 -2019年 7月间接受胃肠镜检查的患者，共 90例，根据住院顺序等分成 A组和 B组， A组实施依托咪酯麻醉， B组实施依托咪酯联合丙泊酚麻醉，对 2组患者体动、肌痉挛及检查时间、清醒时间、术中依托咪酯用量进行比较。结果： B组体动、肌痉挛的发生率低于 A组 ;检查与清醒时间相比， 2组无差异（ P>0.05），依托咪酯用量相比， B组明显低于 A组（ P<0.05）。结论：胃肠镜检查术中运用依托咪酯复合丙泊酚静脉麻醉，有着显著安全性，可以使体动、肌痉挛等不良反应的发生率有效减少，减少依托咪酯的用量，从而确保手术的顺利开展。  　　【关键词】依托咪酯 ;丙泊酚 ;麻醉 ;胃肠镜检查术 ;分析  　　 Objective: to analyze the effect of intravenous anesthesia with etomidate combined with propofol in gastroenteroscopy. Methods: 90 patients who underwent gastroenteroscopy in our hospital from July 2018 to July 2019 were divided into group A and group B according to the order of hospitalization. Group A was given etomidate anesthesia, and group B was given etomidate combined with propofol anesthesia. The body movement, muscle spasm, examination time, awake time and intraoperative etomidate dosage were compared between the two groups. Results: the incidence of body movement and muscle spasm in group B was lower than that in group A; there was no difference between the two groups in terms of examination and awake time (P > 0.05), and the dosage of etomidate in group B was significantly lower than that in group A (P < 0.05). Conclusion: the application of etomidate combined with propofol intravenous anesthesia in gastroenteroscopy has significant safety, which can effectively reduce the incidence of body movement, muscle spasm and other adverse reactions, reduce the dosage of etomidate, so as to ensure the smooth operation.

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简介：　　【摘要】 目的 研究分析对声带增生性疾病患者实施显微微瓣缝合技术治疗的价值及对嗓音的改善效果。方法 88例声带增生性疾病患者， 均采用显微微瓣缝合技术治疗， 观察治疗效果。结果 术后1周及术后2周， 本组患者嗓音基频微扰值（jitter）、嗓音振幅微扰值（shimmer）、基频（F0）均优于术前， 差异具有统计学意义（P

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