【摘要】 目的:评价丙泊酚静脉麻醉用于纤维支气管镜术的可行性。方法:102例拟行纤维支气管镜检查患者,年龄20～80岁,ASAⅠ～Ⅲ级,根据麻醉方式的不同分为2组,即表面麻醉组(对照组)和丙泊酚静脉麻醉组(实验组),每组51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<0.01)。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),但由于医生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 undergoing Fiberoptic Bronchsocopy. Method: 102 patients aged 20-80yr undergoing fiberoptic bronchoscopy were divided into two groups. Patients of control group were accept surface anesthesia before bronchoscopy was performed. Patients of experimentation group were receiving 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 control group, variance of SBP、HR、RR、SpO2in experimentation had less change, cases with severe bucking decreased significantly, and satisfaction degree after analepsia increased markedly, there were a significant difference (P<0.01). In spite of incidence rate of respiratory depression in experimentation group was higher than that in control group (P<0.05), but SpO2≥96% in experimentation group after inhaling oxgen. Conclusion: Intravenous anesthesia using propofol undergoing fiberoptic bronchsocopy is more safe and effective than routine surface anesthesia.更多还原