咪达唑仑联合舒芬太尼在无痛清醒镇静支气管镜检查中的应用

Applications of Midazolam Combined with Sufentanil in Painless Conscious Sedation Bronchoscope Check

目的:观察在无痛清醒镇静支气管镜检查中应用咪达唑仑联合舒芬太尼的效果。方法:将80例行支气管镜检查的患者随机分为两组,每组各40例。对照组使用传统支气管镜检查方法,观察组在传统支气管镜检查方法基础上静脉推注咪达唑仑及舒芬太尼,在两组之间进行疗效比较。结果:观察组循环与呼吸功能的变化明显低于对照组,差异有统计学意义(P<0.05和P<0.01),在检查过程中出现体动、呛咳、憋气和中断检查的情况也明显低于对照组,差异有统计学意义(P<0.01);观察组术后满意度、术后遗忘程度、愿意接受第二次检查均明显优于对照组,差异有统计学意义(P<0.01)。结论:在无痛清醒镇静支气管检查中应用咪达唑仑联合舒芬太尼具有良好的效果,且患者感到舒适和容易接受。

Objective To observe the applied effect of the midazolam combined with sufentanil in the painless conscious sedation bronchoscope check. Method 80 cases of patients to make the bronchoscope check were divided into two groups at random and each group was 40 cases. The control group was checked by the method of traditional bronchoscope. The observation group was checked by the intravenous injection of midazolam and sufentanil on the basis of traditional bronchoscope. The treatment effects were compared between two groups. Results The alteration with the circulatory and respiratory functions of observation group were apparently lower than control group（ P〈0. 05 and P〈0. 01）. The conditions of body movement,bucking,feel suffocated and interrupt check in the check process for the observation group were apparently lower than control group（ P〈0. 01）. The degree of satisfaction and forget after operation and be willing to accept second check of observation group were apparently superior to control group（ P〈0. 01）. Conclusion The applications of the midazolam combining sufentanil in the painless conscious sedation bronchoscope check have nice effects,and the feel is comfortable and the acceptance is easy for patients.