【摘要】 目的探讨丙泊酚静脉麻醉用于老年人纤维支气管镜检查的可行性。方法80例拟行纤维支气管镜检查的老年患者,年龄65～80岁,ASAⅠ～Ⅲ级,根据麻醉方式的不同分为两组,即表面麻醉组(对照组)和丙泊酚静脉麻醉组(实验组),每组40例。观察记录患者术中生命体征(SBP、HR、RR、SpO2最低值)的变化、不良反应(包括呛咳、呼吸抑制等)及苏醒后主观满意度。结果与表面麻醉组比较,静脉麻醉组SBP、HR、RR、SpO2的波动值变化较小,剧烈呛咳的病例明显减少,患者术后满意度明显提高,差异有统计学意义(P<0.05或P<0.01)。尽管静脉麻醉组短暂呼吸抑制的发生率明显高于表面麻醉组(P<0.05),但由于采取面罩加压给氧等处理,患者SpO2始终维持在96%以上。结论丙泊酚静脉麻醉用于老年人纤维支气管镜检查,患者安全性及舒适性得到明显提高。更多还原

【Abstract】 Objective To investigate the feasibility study of intravenous anesthesia using propofol for old undergoing fiberoptic bronchsocopy.Methods 80 patients aged 65~80 years old undergoing fiberoptic bronchoscopy were divided into two groups. Patients of the control group accepted surface anesthesia before bronchoscopy was performed. Patients of the experiment group received intravenous infusion of propofol. Vital sign (such as BP,HR,RR and SpO2),adverse effect (such as bucking,respiratory depression),satisfaction degree after analepsia were monitored and recorded during FOB.Results Compared with the control group,variance of SBP,HR,RR,SpO2 in the experiment group had less changes,the cases with severe bucking decreased significantly,and satisfaction degree after analepsia increased markedly,(P<0.05 or P<0.01). The incidence rate of respiratory depression in the experiment group was higher than that in the control group (P<0.05),but SpO2 was higher than 96% in the experiment group after inhaling oxygen.Conclusion Intravenous anesthesia using propofol for old undergoing fiberoptic bronchsocopy is safer and more effective than the routine surface anesthesia.更多还原