CAJ | 학술논문

目的：探讨经喉罩无痛电子支气管镜检查方法的有效性及安全性。方法：抽取2013年4～9月我院呼吸科开展的全麻下无痛支气管镜检查132例，设为A组，同时抽取2012年10月～2013年3月我科开展的局部麻醉支气管镜检查94例，设为B组。 A组术前依次缓慢静注舒芬太尼0．1μg／kg、丙泊酚1．0～1．5 mg／kg，术中静脉泵入丙泊酚维持麻醉；B组术前用2％利多卡因鼻腔、咽喉部、气管局部麻醉。结果：B组患者心率、收缩压、舒张压的波动，术中出血躁动、术后不良记忆发生率明显高于A组（P＜0．05）。 A组患者经皮动脉血氧饱和度较术前有所降低，但差异无统计学意义（P＞0．05）。结论：与局部麻醉支气管镜检查比较，经喉罩无痛电子支气管镜检查优点较多，副作用少，病人能很好耐受，效果满意，可在临床工作中推广应用。
목적：탐토경후조무통전자지기관경검사방법적유효성급안전성。방법：추취2013년4～9월아원호흡과개전적전마하무통지기관경검사132례，설위A조，동시추취2012년10월～2013년3월아과개전적국부마취지기관경검사94례，설위B조。 A조술전의차완만정주서분태니0．1μg／kg、병박분1．0～1．5 mg／kg，술중정맥빙입병박분유지마취；B조술전용2％리다잡인비강、인후부、기관국부마취。결과：B조환자심솔、수축압、서장압적파동，술중출혈조동、술후불량기억발생솔명현고우A조（P＜0．05）。 A조환자경피동맥혈양포화도교술전유소강저，단차이무통계학의의（P＞0．05）。결론：여국부마취지기관경검사비교，경후조무통전자지기관경검사우점교다，부작용소，병인능흔호내수，효과만의，가재림상공작중추엄응용。
Objective:To evaluate the efficacy and safety of using painless electronic bronchoscopy via laryngeal mask device .Methods:132 patients un-dergone painless bronchoscope examination under general anesthesia via laryngeal mask device in the Respiratory Department of our hospital between April and September of 2013 and were included as group A,and another 94 patients received bronchoscopy under local anesthesia between October 2012 and March 2013 were recruited as group B.Group A were managed with sequential intravenous infusion of sufentanil in dose of 0.1 μg/kg and propofol in dose of 1.0-1.5 mg/kg at low speed,and intraoperative analgesia was maintained with venous use of propofol.Group B received local anesthesia with 2%lido-caine via nasal cavity,throats and trachea.Results:The adverse incidences,including fluctuation of heart rate,systolic blood pressure(SBP),diastolic blood pressure(DBP),intraoperative bleeding and poor memory after operation,were higher in group B than those of group A(P <0.05).The arterial blood oxygen saturation in group A was somewhat decreased compared to pre-operation,yet the difference was not significant(P >0.05).Conclusion:Compared with local analgesic bronchoscopy,painless bronchoscope examination via laryngeal mask device has more advantages ,including fewer adverse effects,better tolerance to patients,and satisfactory outcomes,suggesting that this technique can be wider clinical recommendation.