静脉麻醉辅助气管镜检查的临床观察

Clinical study applying intravenous anesthesis in bronchoscopy

【目的】观察丙泊酚静脉麻醉辅助气管镜检查的优点及安全性。【方法】从接受气管镜检查的32 5 6例患者为观察对象,将接受丙泊酚静脉麻醉的病例设为麻醉组,将未接受静脉麻醉的病例设为对照组,观察记录各组患者检查前、中、后不同时点的SpO2 及HR值及不良反应的发生。【结果】麻醉组操作过程中SpO2 、HR与对照组相比均明显降低,操作前后均无统计学意义,操作时间及成功率无统计学差异。【结论】丙泊酚用于气管镜检查,患者无痛苦且不良反应发生少,而对于呼吸及循环功能的影响上,无统计学意义上的增加风险,但从个别患者的呼吸抑制表现看,应用丙泊酚静脉麻醉辅助镜检需确切的呼吸管理。

Investigating the possibilities of auxiliary intravenous anesthesis in the field of bronchoscopy. We have randomly chosen 3 256 cases of received bronchoscopy ,test group 1992 cases who chose the anesthesis infused Propofol 2 0 mg/kg via venosum dorsum manus; Control group who didn′t be given anesthesis ,recording the values of SpO 2 as well as HR in different time points from entering the office to the post examination.It showed no significant difference.[Conclusion]The anesthesis using Propofol in the bronchoscopy is safe and possible,it can lessen patients′ pain and side reaction,raise clinic inspecting ratio.