CAJ | 학술논문

目的：对比观察芬太尼和舒芬太尼对纤维支气管镜检查患者血流动力学和末梢血氧饱和度的影响。方法拟行纤维支气管镜检查的患者60例，随机均分为 A 组和 B 组（n=30）。在检查前10 min，A 组患者静脉滴注芬太尼2μg/kg，B 组患者静脉滴注舒芬太尼0.2μg/kg。分别记录用药前、镜检前、镜检中5 min、镜检后5 min 患者心率（HR）、无创血压（NBP）和末梢血氧饱和度（SpO 2）。结果镜检中2组患者均有不同程度 HR 增快、BP 升高，但组内比较其差异无统计学意义；SpO 2差异无统计学意义。2组患者 HR、SBP、DBP、MBP 和 SpO 2在各时点比较差异无统计学意义。结论芬太尼和舒芬太尼用于纤维支气管镜检查均能取得很好的效果且疗效相似。
목적：대비관찰분태니화서분태니대섬유지기관경검사환자혈류동역학화말소혈양포화도적영향。방법의행섬유지기관경검사적환자60례，수궤균분위 A 조화 B 조（n=30）。재검사전10 min，A 조환자정맥적주분태니2μg/kg，B 조환자정맥적주서분태니0.2μg/kg。분별기록용약전、경검전、경검중5 min、경검후5 min 환자심솔（HR）、무창혈압（NBP）화말소혈양포화도（SpO 2）。결과경검중2조환자균유불동정도 HR 증쾌、BP 승고，단조내비교기차이무통계학의의；SpO 2차이무통계학의의。2조환자 HR、SBP、DBP、MBP 화 SpO 2재각시점비교차이무통계학의의。결론분태니화서분태니용우섬유지기관경검사균능취득흔호적효과차료효상사。
Objective To compare effects of fentanyl and sufentanil on hemodynamics and oxyhemoglobin saturation on fiberoptic bronchoscopy. Methods Sixty patients were scheduled for fiberoptic bronchoscopy were randomly divided into A group and B group (n=30). Ten munites before examination, patients in group A received intravenous fentanyl (2 μg/kg) and in group B received intravenous sufentanil (0.2 μg/kg). The HR, NBP and SpO 2 were recorded before drug injection, before examination, 5 munites during examination and 5 minutes after examination. Results Both groups, the HR and BP were significant increased in different degree and SpO 2 were insignificant difference during examination. Compare with two groups, the values of HR, SBP, DBP, MBP and SpO 2 were insignificant difference in each time. Conclusion Both fentanyl and sufentanil are effective for fiberoptic bronchoscopy and there were similar effect.