CAJ | 학술논문

目的：探讨咪达唑仑静脉麻醉在纤维支气管镜检查和治疗中应用的效果。方法通过对观察组31例给予咪达唑仑0.1 mg/kg静脉麻醉和对照组30例常规利多卡因局部麻醉的比较，观察纤维支气管镜检查术前、术中血氧饱和度（ SpO2）、血压（ BP）、心率（ HR）、总有效率（ RR）等指标的波动情况以及不良反应。结果观察组SpO2、BP、HR、RR波动小，且呛咳、躁动、呼吸抑制次数较少，与对照组相比较差异均有统计学意义（ P <0.05）。结论在纤维支气管镜治疗与检查中应用咪达唑仑静脉麻醉，是一种不良反应少、有效、安全的无痛检查方法，值得临床推广应用。
목적：탐토미체서륜정맥마취재섬유지기관경검사화치료중응용적효과。방법통과대관찰조31례급여미체서륜0.1 mg/kg정맥마취화대조조30례상규리다잡인국부마취적비교，관찰섬유지기관경검사술전、술중혈양포화도（ SpO2）、혈압（ BP）、심솔（ HR）、총유효솔（ RR）등지표적파동정황이급불량반응。결과관찰조SpO2、BP、HR、RR파동소，차창해、조동、호흡억제차수교소，여대조조상비교차이균유통계학의의（ P <0.05）。결론재섬유지기관경치료여검사중응용미체서륜정맥마취，시일충불량반응소、유효、안전적무통검사방법，치득림상추엄응용。
Objective Toexploretheeffectofmidazolamforintravenousanesthesiaduringfibropticbronchoscopy.Methods Thirtyca-ses in control group received lidocaine for traditional anesthesia during fibroptic bronchoscopy,and 31 cases in observation group received midazo-lam for anesthesia during fibroptic bronchoscopy. SpO2 ,BP,HR,RR and adverse reactions were observed before fibreoptic bronchoscopy and duringfibropticbronchoscopyandtheirresultswerecomparedbetweenthese2groups.Results Adversereactionsinobservationgroupwereless and changes in BP,HR,SpO2 and RR were not significant in comparison with those of control group,and the difference between these 2 groups wasstatisticallysignificant(P<0.05).Conclusion Midazolamforintravenousanesthesiacanprovidesafeandreliableanesthesiaforfibroptic bronchoscopy.