CAJ | 학술논문

目的:评价丙泊酚静脉麻醉用于纤维支气管镜术的可行性.方法:102例拟行纤维支气管镜检查患者,年龄20～80岁,ASAⅠ～Ⅲ级.根据麻醉方式的不同分为2组,即表面麻醉组(对照组)和丙泊酚静脉麻醉组(实验组),每组51例.观察记录患者术中生命体征(SBP、HR、RR、SpO2最低值)的变化、不良反应(包括呛咳、呼吸抑制等)及苏醒后主观满意度.结果:与表面麻醉组比较,静脉麻醉组SBP、HR、RR、SpO2的波动值变化较小,剧烈呛咳的病例明显减少,患者术后满意度明显提高,差异有统计学意义(P<0.01).尽管静脉麻醉组短暂呼吸抑制的发生率明显高于表面麻醉组(P<0.05),但由于医生采取面罩加压给氧等处理,患者SpO2始终维持在96%以上.结论:丙泊酚静脉麻醉用于纤维支气管镜检查,患者安全性及舒适性得到明显提高.
목적:평개병박분정맥마취용우섬유지기관경술적가행성.방법:102례의행섬유지기관경검사환자,년령20～80세,ASAⅠ～Ⅲ급.근거마취방식적불동분위2조,즉표면마취조(대조조)화병박분정맥마취조(실험조),매조51례.관찰기록환자술중생명체정(SBP、HR、RR、SpO2최저치)적변화、불량반응(포괄창해、호흡억제등)급소성후주관만의도.결과:여표면마취조비교,정맥마취조SBP、HR、RR、SpO2적파동치변화교소,극렬창해적병례명현감소,환자술후만의도명현제고,차이유통계학의의(P<0.01).진관정맥마취조단잠호흡억제적발생솔명현고우표면마취조(P<0.05),단유우의생채취면조가압급양등처리,환자SpO2시종유지재96%이상.결론:병박분정맥마취용우섬유지기관경검사,환자안전성급서괄성득도명현제고.
Obiective:To investigate the feasibility study of intravenous anesthesia using propofol undergoing Fiberoptic Bronehsoeopy.Method:102 patients aged 20-80yr undergoing fiberoptic bronehoseopy were divided into two groups.Patients of control group were accept surface anesthesia before bronchoscopy was performed.Patients of experimentation group were receiving intravenous infusion of propofol.Vital sign(such as BP,HR,RR and SpO2),adverse effect such as bucking,respiratory depression),satisfaction degree after analepsia were monitored and recorded during FOB.Results:Compared with control group,variance of SBP、HR、RR、SpO2 in experimenration had less change,cases with severe bucking decreased significandy,and satisfaction degree after analepsia increased markedly,there were a significant difference(P<0.01).In spite of incidence rate of respiratory depression in experimentation group Was higher than that in control group(P<0.05),but SpO2≥96%in experimentation group after inhaling oxgen.Conclusion:Intravenoos anesthesia ushag pmpofol undergoing fiberoptie bronchsecopy is more safe and effective than routine surface anesthesia.