CAJ | 학술논문

目的:观察i-gel喉罩控制通气在无痛支气管镜检查中的应用效果. 方法:选取拟行纤维支气管镜检查的患者80例,随机分为控制通气组(A组,n = 40)和表面麻醉组(B组,n = 40).前者应用芬太尼、瑞芬太尼、丙泊酚、琥珀胆碱麻醉,i-gel 无囊喉罩联合T型密封接头实施控制通气,后者应用利多卡因表面麻醉,自主呼吸,鼻导管给氧. 记录两组患者在支气管镜检查中生命体征变化,镜检期间体动、咳嗽、喉痉挛等内镜相关不良反应和术后呛咳、声嘶等麻醉相关不良反应,镜检时间,患者满意度. 结果:与表现麻醉组相比,控制通气组生命体征波动小(P < 0.05),不良反应少(P < 0.05),患者满意度高(P < 0.05).结论:i-gel喉罩控制通气在无痛支气管镜检查安全,有效控制气道,解决呼吸抑制问题,是内镜检查中一项可行的方法.
목적:관찰i-gel후조공제통기재무통지기관경검사중적응용효과. 방법:선취의행섬유지기관경검사적환자80례,수궤분위공제통기조(A조,n = 40)화표면마취조(B조,n = 40).전자응용분태니、서분태니、병박분、호박담감마취,i-gel 무낭후조연합T형밀봉접두실시공제통기,후자응용리다잡인표면마취,자주호흡,비도관급양. 기록량조환자재지기관경검사중생명체정변화,경검기간체동、해수、후경련등내경상관불량반응화술후창해、성시등마취상관불량반응,경검시간,환자만의도. 결과:여표현마취조상비,공제통기조생명체정파동소(P < 0.05),불량반응소(P < 0.05),환자만의도고(P < 0.05).결론:i-gel후조공제통기재무통지기관경검사안전,유효공제기도,해결호흡억제문제,시내경검사중일항가행적방법.
Objective To observe the clinical effect of controlled ventilation with i-gel laryngeal mask airway in painless bronchoscopy. Methods 80 patients were randomly divided into control group (group A, n =40) and surface anesthesia group (group B, n = 40). Fent-anyl, ruifentanyl, propofol, succinylcholine anesthesia and controlled ventilation was adopted by i-gel laryngeal mask combined with T-seal adapter in control group.Surface of lidocaine anesthesia, spontaneous breathing, nasal cannula oxygen were applied in surface anesthesia group. Patients vital signs change in bronchoscopy , endoscopic related adverse reactions such as body movement, cough, laryngospasm. anesthesia related adverse reactions such as postoperative bucking, choking hoarseness, examination time and patient satisfaction were recorded. Results Controlled ventilation with i- gel laryngeal mask shows airway changes are small (P < 0.05), and less adverse reaction (P < 0.05). Patients showed higher satisfaction (P < 0.05). Conclusion controlled ventilation with i-gel laryngeal mask in painless bronchoscopy is safe , controls the airwayeffectively , and solve the problem of respiratory depression , which proves to be a feasible method.