【摘要】 目的:探讨无痛支气管镜检查方法的疗效及安全性。方法:将119例患者随机分为两组,A组56例为局麻组,用2%利多卡因咽部、气管局部麻醉;B组63例为全麻组(选择包括难以接受或不能接受常规局部麻醉支气管镜检查和治疗,或接受常规局部麻醉支气管镜检查和治疗失败的患者),给予异丙酚(2.00±0.56)mg/kg,芬太尼50～100μg,术中静脉滴注异丙酚维持麻醉。结果:A组患者收缩压、舒张压的改变、术中呛咳、体动发生率及失败率、术后不良记忆及并发症明显高于B组(P<0.05)。B组患者脉搏氧饱和度较术前有所降低,但差异无统计学意义(P>0.05)。结论:与局部麻醉支气管镜比较,无痛支气管镜优点较多,极大地提高了麻醉质量、节省了手术时间、成功率高,安全可靠且并发症少,使患者舒适地接受检查和治疗,真正让患者享受无痛医疗服务,效果满意。更多还原

【Abstract】 Objective:To explore the effect and safety of indolent bronchoscope examining.Methods:119 patients were randomly divided into two groups,56 patients of group A received local anaesthesia in throats and tracheas.63 patients of group B received general anaesthesia,including those who were hard to receive or could not receive the bronchoscope examining of local anaesthesia and the treatment,and those who failed in the above examining and treatment.They were injected with Propofol(2.00±0.56) mg/kg and Fentaini 50-100 μg.Propofol was used in the operation to remain anaesthetizing.Results:Group A changed more than those of group B about systolic blood pressure,diastolic blood pressure,coughs,body motion,bad memory and complication,there was a significant difference between two groups(P<0.05).Pulse oxygen saturation of Group B was lower than presurgery,but there was no statistical significance(P>0.05).Conclusion:The indolent bronchoscope has more advantages than the local anaesthesia bronchoscope.It can enormously improve the anaesthesia quality and save much time in surgery,the success ratio is high.And it is safe and reliable and complications are few.It can make the patients feel comfortable in examining and treatment,and let the patients enjoy the indolent medical service truly.The effect is satisfied.更多还原