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目的：研究小剂量芬太尼联合丙泊酚静脉麻醉在胃镜检查中的应用价值。方法：将胃镜检查患者纳入研究，根据麻醉方法不同分为给予小剂量芬太尼联合丙泊酚麻醉的观察组患者和给予咪达唑仑联合丙泊酚麻醉的对照组患者，比较两组患者的麻醉后入睡时间、苏醒时间以及丙泊酚的用量。结果：观察组患者麻醉后的入睡时间、苏醒时间均短于对照组，丙泊酚总用量少于对照组。结论：小剂量芬太尼联合丙泊酚静脉麻醉可以有效缩短麻醉诱导时间及苏醒时间、减少麻醉药物用量，是胃镜检查理想的麻醉方法。“,”Objective: To study the application value of smal dose of fentanyl combined with propofol intravenous anesthesia in gastroscopy. Methods: patients received gastroscopy were enrol ed and divided into observation group given fentanyl combined with propofol anesthesia and control group given midazolam combined with propofol anesthesia. Then anesthesia effect were compared. Results: sleep time after anesthesia, wake up time of observation group were shorter than control group, total propofol amount was less than control group. Conclusion:smal dose of fentanyl combined with propofol intravenous anesthesia is an ideal anesthesia method in gastroscopy for it can effectively shorten anesthesia induction time and recovery time, reduce dosage of anesthetic drug.