西北地区无痛支气管镜的临床应用

The Clinical Application of Painless Bronchoscopy in Northwest Area

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。

Objective： To observe the superiority of the painless bronchoscopy under general anesthesia. Methods： 600 patients were randomly divided into two groups, Group A as observation group and group B as control group. There were 300 cases in group A under general anesthesia, given propofol and remifentanil, and others in group B given lidocaine in throats and local tachea with Pressure atomization, 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 during bronchoscopy, blood pressure levels and heart rate increased, and patients in group A felt more comfortable than those in group B. Conelusiun： Painless bronchoscopy has better quality, less bad memories, and more acceptability by patients, and it deserves fiarther application in clinic.