无痛性纤维支气管镜检查术的临床应用

clinical application of the pain-free fiberopfic bronchoscopy

目的探讨无痛性纤维支气管镜检查术的可行性及安全性。方法对30例患者在丙泊酚静脉麻醉下行纤维支气管镜检查及治疗。观察检查前、中、后患者血压、心率、呼吸、血氧饱和度等变化情况。结果30例患者血压、心率在检查中、后与检查前比较，差异无统计学意义（P〉0．05）；检查中患者血氧饱和度较检查前明显降低（P〈0．05），吸氧后很快恢复正常；均未发生心律失常、晕厥等严重并发症，完全清醒后平均（24．5±3．1）min离开检查室。结论无痛性纤维支气管镜检查术安全，无痛苦，尤其对需反复纤维支气管镜检查治疗的患者是一种很好的方法。

Objective To explore the availability,feasibility and securiy of the pain-free fibemptic bmnchoscopy in clinical application. Methods The blood pressure, heart rate, respiratory rate and saturation of blood oxygen were measured before, middle and after pain-free fiberoptic bronchoscopy under the propofol induced intravenous anesthesia in a cohort of 30 patients. The time of from anesthesia to completely conscious was recorded. Results In 30 paitents, the blood pressure were descended. The heart rate, respiratory rate and saturation of blood oxygen had no significant change. Every patient had no discomfortableness and no pain. The time of leaving examination room was average 25minutes after completely conscious. Conclusion The pain-free fiberoptic bronchoscopy under propofol was safe and painless in the patients have mental stress, no cooperation, hypertension and advanced age. It is a good curative means especially to the people who need repeatedly.