CAJ | 학술논문

目的：比较局部麻醉伴或不伴清醒镇静方式用于支气管内超声引导下经支气管针吸活检（EBUS-TBNA）时患者的满意度、耐受度及安全性等，以筛选更合适的麻醉方法。方法：将行EBUS-TBNA检查的60例患者随机分为局部麻醉伴清醒镇静组（A组）和单纯局部麻醉组（B组），每组30例。通过术前记录、术中观察、术后问卷和随访的方式观察患者对操作的满意度和耐受度、操作的安全性和诊断的准确性。结果：与B组比较，A组EBUS-TBNA术前、术中、术后血氧饱和度明显降低（P＜0．05）；收缩压在EBUS-TBNA术前和术中略有降低（P＜0．05）；两组患者的满意度和耐受度、并发症的发生率、诊断准确率差异无统计学意义。结论：对在门诊行EBUS-TBNA的患者可采用单纯局部麻醉的方式，患者的满意度和耐受度、操作的安全性、诊断的准确性较高。
목적：비교국부마취반혹불반청성진정방식용우지기관내초성인도하경지기관침흡활검（EBUS-TBNA）시환자적만의도、내수도급안전성등，이사선경합괄적마취방법。방법：장행EBUS-TBNA검사적60례환자수궤분위국부마취반청성진정조（A조）화단순국부마취조（B조），매조30례。통과술전기록、술중관찰、술후문권화수방적방식관찰환자대조작적만의도화내수도、조작적안전성화진단적준학성。결과：여B조비교，A조EBUS-TBNA술전、술중、술후혈양포화도명현강저（P＜0．05）；수축압재EBUS-TBNA술전화술중략유강저（P＜0．05）；량조환자적만의도화내수도、병발증적발생솔、진단준학솔차이무통계학의의。결론：대재문진행EBUS-TBNA적환자가채용단순국부마취적방식，환자적만의도화내수도、조작적안전성、진단적준학성교고。
Objective:To compare the satisfaction and tolerability of patients under local anesthesia with conscious sedation and simple local anesthesia in Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) .Methods :Sixty patients undergoing EBUS-TBNA operation were randomly divided into local anesthesia with conscious sedation group (Group A) and simple local anesthesia group (Group B) ,with 30 patients in each group .The satisfaction and tolerability of patients , safety and accuracy of operations were observed by preoperative records ,intraoperative observation ,postoperative question-naires and follow-up .Results :Compared with Group B ,the blood oxygen saturations of patients before ,during and after oper-ation in Group A decreased significantly (P<0 .05) .The mean contractive pressure of patients before and during operation in Group A were significantly lower than that in Group B .However ,there were no significant differences in the satisfaction and tolerability ,the incidence rates of complications of patients and diagnostic accuracy in two groups .Conclusions :The simple lo-cal anesthesia in EBUS-TBNA in Outpatient Department is safe and effective ,with good satisfaction and tolerability .