CAJ | 학술논문

目的观察支气管肺泡灌洗术中改良麻醉方法的麻醉效果.方法随机将118例行支气管肺泡灌洗患者分为常规组和改良组.常规组:常规麻醉术前肌肉注射安定10 mg;改良组:术前肌肉注射哌(口替)啶50 mg,静脉推注生理盐水2 ml、地塞米松10 mg、麻黄碱5 mg,观察患者的麻醉效果、满意度及每次灌洗量.结果改良组麻醉效果的有效率及满意度均为100％,常规组麻醉效果的有效率及满意度分别为82.76％、76.2％,改良组麻醉效果及满意度明显于常规麻醉组,差异有统计学意义(P＜0.05).改良组每次灌洗总量为(1550.3±74.5)ml,常规组为(280.8±35.2)ml,改良组每次灌洗总量明显高于常规组,差异有统计学意义(P＜0.01).结论术前用哌(口替)啶、地塞米松联合麻黄碱可提高支气管肺泡灌洗患者的满意度,患者痛苦少,增大每次灌洗量,值得临床推广应用.
목적 관찰지기관폐포관세술중개량마취방법적마취효과.방법 수궤장118례행지기관폐포관세환자분위상규조화개량조.상규조:상규마취술전기육주사안정10 mg;개량조:술전기육주사고(구체)정50 mg,정맥추주생리염수2 ml、지새미송10 mg、마황감5 mg,관찰환자적마취효과、만의도급매차관세량.결과 개량조마취효과적유효솔급만의도균위100％,상규조마취효과적유효솔급만의도분별위82.76％、76.2％,개량조마취효과급만의도명현우상규마취조,차이유통계학의의(P＜0.05).개량조매차관세총량위(1550.3±74.5)ml,상규조위(280.8±35.2)ml,개량조매차관세총량명현고우상규조,차이유통계학의의(P＜0.01).결론 술전용고(구체)정、지새미송연합마황감가제고지기관폐포관세환자적만의도,환자통고소,증대매차관세량,치득림상추엄응용.
Objective To observe the anesthetic effect of modified anesthesia in the bronchoalveolar lavage.Method 118 cases randomly fell in two groups:traditional group:intramuscular injection of 10 mg diazepam prior to routine anesthesia; modified group:preoperative intramuscular injection of 50 mg dolantin,and venous injection of 2 ml physiological saline,10 mg dexamethasone,5 mg ephedrine; observe the anesthetic effect,satisfaction and tlavage quantity in patients.Results The excellence rate and satisfaction of anesthetic effect are both 100％ in modified group while 82.76％ and 76.2％ in the tradition group.The result indicates the excellence rate and satisfaction of anesthetic effect in modified group are better than the traditional group with a significant difference (P＜0.05); the lavage quantity in the modified group is significantly higher than that in the traditional group with a significant difference (P＜0.01).Conclusion Dolantin,dexamethasone and ephedrine preoperatively used with a good anesthetic effect can improve the cooperation of patients in bronchoalveolar lavage with less pain and increased lavage quantity,thereby worthy of clinical application.