病情危重程度对ICU床旁纤维支气管镜检查的影响

Influences of the diseases severity on ICU bedside fiberoptic bronchoscopy

目的探讨病情危重程度对ICU床旁纤维支气管镜检查（fiberoptic bronchoscopy，FB）的影响。方法回顾2012—03～2014—12在哈尔滨医科大学附属第二医院重症医学科三病房接受有创机械通气治疗并需进行床旁FB患者，将APACHEU评分分别与到达镇静目标的时间、FB时间、操作医生满意度评分和不良反应的发生进行相关性分析。结果本研究共计纳入患者148例。APACHE Ⅱ评分与到达镇静目标的时间和操作医生满意度评分呈负相关（相关系数分别为r=-0．370和r=-0．259），与FB时间和不良反应的发生呈正相关（相关系数分别为r=0．338和r=0．582）。结论病情危重程度可对ICU床旁FB产生不良的影响，应引起操作者的高度重视。

Objective To investigate the influences of diseases severity on ICU bedside fiberoptic bronchoscopy. Methods The patients were chosen from the third ICU ward of Second Affiliated Hospital of Harbin Medical University receiving invasive mechanical ventilation and bedside fiberoptic bronchoscopy simultaneously from March 2012 to December 2014. APACHE Ⅱ score was correlated with time to target sedation, time of bedside fiberoptic bronchoscopy, bronchoscopists＇ satisfaction score and occurrence of adverse reactions respectively. Results A total of 148 patients were contained in the study. There was a negative correlation between APACHE Ⅱ score and time to target sedation and bronchoscopists＇s atisfaction score（correlation coefficients were r = -0.370 and r = -0.259, respectively）; there was a positive correlation between APACHE Ⅱ score and time of fiberoptic bronchoscopy and occurrence of adverse reactions （correlation coefficients were r = 0.338 and r = 0.582, respectively）. Conclusion Severity of disease has adverse influences on ICU bedside fiberoptic bronchoscopy, which should be paid more attention by bronchoscopists.