临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2015年
7期
1302-1304
,共3页
麻醉%途径%纤维支气管镜
痳醉%途徑%纖維支氣管鏡
마취%도경%섬유지기관경
anesthesia%way%fibreoptic bronchoscopy
目的：观察两种麻醉途径对纤维支气管镜检查的影响。方法将160例患者随机分为实验组和对照组各80例。两组均用2%利多卡因，分别经鼻腔和咽喉部麻醉，比较两组患者在经不同途径麻醉后，在有效麻醉时间、麻醉药物使用量、麻醉效果、出现不良反应程度及各时点(麻醉后检查前( T0)、支气管镜进入声门时( T1)检察时( T2)及检查后0．5 h( T3)的HR、MAP、SpO2的比对。结果①实验组患者在有效麻醉时间、麻醉药物使用量明显优于对照组(P <0．05)，差异有统计学意义。②实验组麻醉效果优良率达82．5%，显著优于对照组(60%)( P<0．05)，差异有统计学意义。③实验组不良反应率达19%，对照组为57．6%，差异有统计学意义。④实验组各时点各项生命体征均比B组平稳，两组在T1时点HR及MAP差异均具有统计学意义(P<0．05)，且在T2时点MAP差异也具有统计学意义(P<0．05)。结论纤维支气管镜检查经鼻腔喷射麻醉优于咽喉部喷雾麻醉。
目的：觀察兩種痳醉途徑對纖維支氣管鏡檢查的影響。方法將160例患者隨機分為實驗組和對照組各80例。兩組均用2%利多卡因，分彆經鼻腔和嚥喉部痳醉，比較兩組患者在經不同途徑痳醉後，在有效痳醉時間、痳醉藥物使用量、痳醉效果、齣現不良反應程度及各時點(痳醉後檢查前( T0)、支氣管鏡進入聲門時( T1)檢察時( T2)及檢查後0．5 h( T3)的HR、MAP、SpO2的比對。結果①實驗組患者在有效痳醉時間、痳醉藥物使用量明顯優于對照組(P <0．05)，差異有統計學意義。②實驗組痳醉效果優良率達82．5%，顯著優于對照組(60%)( P<0．05)，差異有統計學意義。③實驗組不良反應率達19%，對照組為57．6%，差異有統計學意義。④實驗組各時點各項生命體徵均比B組平穩，兩組在T1時點HR及MAP差異均具有統計學意義(P<0．05)，且在T2時點MAP差異也具有統計學意義(P<0．05)。結論纖維支氣管鏡檢查經鼻腔噴射痳醉優于嚥喉部噴霧痳醉。
목적：관찰량충마취도경대섬유지기관경검사적영향。방법장160례환자수궤분위실험조화대조조각80례。량조균용2%리다잡인，분별경비강화인후부마취，비교량조환자재경불동도경마취후，재유효마취시간、마취약물사용량、마취효과、출현불량반응정도급각시점(마취후검사전( T0)、지기관경진입성문시( T1)검찰시( T2)급검사후0．5 h( T3)적HR、MAP、SpO2적비대。결과①실험조환자재유효마취시간、마취약물사용량명현우우대조조(P <0．05)，차이유통계학의의。②실험조마취효과우량솔체82．5%，현저우우대조조(60%)( P<0．05)，차이유통계학의의。③실험조불량반응솔체19%，대조조위57．6%，차이유통계학의의。④실험조각시점각항생명체정균비B조평은，량조재T1시점HR급MAP차이균구유통계학의의(P<0．05)，차재T2시점MAP차이야구유통계학의의(P<0．05)。결론섬유지기관경검사경비강분사마취우우인후부분무마취。
Objective To observe the influence of two kinds of anesthesia approach on fibreoptic bronchos-copy. Methods 160 patients were randomly divided into the experiment group and the control group with 80 cases in each group. The two groups were given 2% lidocaine respectively through nasal and throat. The effective time of an-esthesia, anesthetic usage, anesthesia effect and adverse reaction were compared. The value of HR, MAP and SpO2 was recorded at different time points [ after anesthesia before examination ( T0 ) , bronchoscope into glottis ( T1 ) , ex-amination (T2) and 0. 5 hours after examination (T3)]. Results (1) The effective time of anesthesia and the us-age of anesthesia drugs were better in the experiment group than in the control group (P<0. 05). (2) The effective rate was 82. 5% in the experiment group, which was higher than that in the control group (60%) (P<0. 05). (3) The incidence of adverse reaction was 19% in the experiment group and 57. 6% in the control group (P<0. 05). (4) The vital signs were more stable at each time point in the experiment group than in the control group, and the value of HR and MAP at T1 and the value of MAP at T2 showed significant differences between the two groups ( P<0. 05). Conclusion The anesthetic effect is superior through nasal to throat for fibreoptic bronchoscopy.
