西北地区无痛支气管镜的临床应用

目的:观察西北地区开展无痛支气管镜检查方法的优越性。方法:将600例患者随机分为A、B两组,A组为观察组,给予异丙酚复合瑞芬太尼静脉麻醉法,经喉罩人工辅助通气,B组为对照组,给予单纯利多卡因表面麻醉,方法为利多卡因氧气加压口鼻面罩雾化,鼻腔、气管内滴药,连续观察患者在支气管镜诊疗前、过程中血压、心率、血氧饱和度变化及术中、术后反应情况。结果:观察组气管镜操作前、中的血氧饱和度无明显改变,心率、血压有所升高,术后舒适度明显高于对照组。结论:无痛支气管镜诊疗时可以获得满意的麻醉效果,优于常规局麻法,值得临床推广应用。

The Clinical Application of Painless Bronchoscopy in Northwest Area

Objective:To observe the superiority of the painless bronchoscopy under general anesthesia.Methods:600 patientswere randomly divided into two groups, Group A as observation group and group B as control group. There were 300 cases in group Aunder general anesthesia, given propofol and remifentanil, and others in group B given lidocaine in throats and local tachea with Pressureatomization, the blood pressure levels, heart rate and pulse oxygen saturation in operation and after operation continuously observed.Results:Compared with preoperative situations, the pulse oxygen saturation was no significantly different in Group A duringbronchoscopy, blood pressure levels and heart rate increased, and patients in group A felt more comfortable than those in group B.Conclusion:Painless bronchoscopy has better quality, less bad memories, and more acceptability by patients, and it deserves furtherapplication in clinic.