CAJ | 학술논문

目的：观察瑞芬太尼复合丙泊酚靶控输注在老年肺部疾患纤维支气管镜检查中的应用疗效与可行性。方法：将64例老年肺部疾病患者随机分成观察组和对照组，每组32例。对照组使用芬太尼和手控推注丙泊酚进行无痛纤维支气管镜检查；观察组使用瑞芬太尼与靶控输注丙泊酚进行无痛纤维支气管镜检查，对两组各时点的舒张压、收缩压、患者诱导时间、心率、检查过程中患者表现出来的不良反应以及苏醒时间等进行观察并及时记录。结果：观察组的苏醒时间和诱导时间与对照组相比明显更短，且两组数据差异明显，具有统计学意义(t=4.53，t=2.76；P＜0.0.5)。结论：经观察研究发现，瑞芬太尼、靶控输注丙泊酚以及辅用自制的改良面罩等，在老年肺部疾病患者的无痛纤维支气管镜检查中可以安全地应用，值得推广使用。
목적：관찰서분태니복합병박분파공수주재노년폐부질환섬유지기관경검사중적응용료효여가행성。방법：장64례노년폐부질병환자수궤분성관찰조화대조조，매조32례。대조조사용분태니화수공추주병박분진행무통섬유지기관경검사；관찰조사용서분태니여파공수주병박분진행무통섬유지기관경검사，대량조각시점적서장압、수축압、환자유도시간、심솔、검사과정중환자표현출래적불량반응이급소성시간등진행관찰병급시기록。결과：관찰조적소성시간화유도시간여대조조상비명현경단，차량조수거차이명현，구유통계학의의(t=4.53，t=2.76；P＜0.0.5)。결론：경관찰연구발현，서분태니、파공수주병박분이급보용자제적개량면조등，재노년폐부질병환자적무통섬유지기관경검사중가이안전지응용，치득추엄사용。
Objective: To observe the red compound fontanels protocol target controlled infusion in elderly lung diseases, the application of fiber bronchoscope examination curative effect and safety of feasibility. Methods:Our hospital departments of 62 cases with pulmonary disease patients were randomly divided into two groups, experimental group and control group respectively. Control group using fontanel and manual injection of protocol in painless fiber bronchoscope examination, the experimental group using red target controlled infusion of protocol and fontanel in painless fiber bronchoscope. Then to invite the diastolic and systolic blood pressure of each point, patients in the process of the induction time, heart rate, check the patient's adverse reactions and awakening time were observed and recorded in a timely manner. Results: compared with control group, experimental group of awakening time and induction time significantly shorter, and two groups of data difference to be markedly, with statistical significance (t=4.53, t=2.76; P<0.05). Conclusion: Through the observation, the study found, fontanel, target control infusion of protocol and auxiliary with home-made modified mask, etc., in elderly patients with lung diseases can be safely used in painless fiber bronchoscope, is worth promoting.