含服胃镜胶浆加深吸入麻醉在纤支镜检查中的应用效果

Application of Sublingual Administration of Mortar and Deep Inhalation Anesthesia on Fiberoptic Bronchoscopy

目的探讨一种高效的纤维支气管镜检查麻醉方法。方法将83例纤维支气管镜检查患者随机分为两组,试验组(43例)采用含服胃镜胶浆(利多卡因胶浆)加深吸气吸入利多卡因麻醉,对照组(40例)采用手助喷雾吸入利多卡因加环甲膜穿刺法麻醉。观察两组患者在纤维支气管镜检查中的麻醉效果。结果试验组麻醉优良率为86.0%,对照组为67.5%,差异有统计学意义(P<0.05);试验组利多卡因用量为(9.5±4.8)ml,对照组为(14.7±6.8)ml,差异有统计学意义(P<0.01)。结论纤维支气管镜检查采用含服胃镜胶浆(利多卡因胶浆)加深吸气吸入利多卡因麻醉效果好,具有插镜成功率高、用药量少、患者易于接受、操作者受干扰少等优点。

Objective To explore an efficient anesthesia approach applied in fiberoptic bronchoscopy. Methods Eighty-three patients undertaking fiberoptic bronchoscopy were randomized into two groups. In the experimental group, 43 patients were anesthetized by sublingual administration of mortar in gastroscopy and deeply inhaled lidocaine. In the control group, 40 patients were anesthetized by hand-assisted spray inhalation and intercricocentesis. The anesthesia effects in fiberoptic bronchoscopy in the two groups were observed. Results The efficient anesthesia rates of the experimental group and the control group were 86. 0% and 67. 5% respectively with significant difference（P〈0.05）. The average amounts of lidocaine used in the experimental group and the control group were （9.5±4.8） ml and （14.7±6.8） ml with significant difference （P〈0.01）. Conclusion The approach of sublingual administration of mortar in gastroscopy and deeply inhaled lidocaine in fiberoptic bronchoscopy is of effectiveness,higher success rate inserting colonoscope,ease to use, less usage of drugs and the less interference on the operator which makes it worthwhile to be promoted.