吗啡在纤维支气管镜检查前用药的效果评价

Evaluation of effect of heroin use prior to fibrscoptic bronchoscopy

目的比较地西泮与吗啡在纤维支气管镜检查前用药的麻醉效果。方法随机将100名需行纤支镜检查的患者分成A、B两组,A组吗啡10mg,B组给予地西泮10mg肌注,术前均常规雾化吸入2%利多卡因。皮下注射阿托品0.5mg。结果A组在咳嗽程度、缺氧程度、声门开放程度、术后恢复方面优于B组(P<0.05),但恶心呕吐反应重于对照组。结论吗啡在纤维支气管镜检查前用药的麻醉效果优于地西泮。

Objective To compare the sedative effects of heroin and diazepamum in fibroscoptic bronchoscopy. Methods One hundred patients undergoing fibroseoptic bronehoscopy were randomly divided into two groups. The control group （ Group A） was given heroin and atropini. The other group was given desipramine and atropine. The sedative scores, HR and SpO2 were measured and compared between the two groups. Results There were significant differences between the groups in measures of seriousness of cough, anoxia, and degree of recovery after operation. Conclusion Use of heroin has better sedative effects than of desipramine in fibroseoptic bronchoseopy.