无痛麻醉用于纤维支气管镜检查的临床应用效果

Clinical application effect of painless anesthesia in fiberoptic bronchoscopy

目的探究无痛麻醉用于纤维支气管镜检查的临床应用效果。方法选择本院2016年1月至2017年1月纤维支气管镜检查患者100例为研究对象,随机分为对照组和观察组,各50例。对照组采用芬太尼和丙泊酚进行麻醉,观察组采取瑞芬太尼及丙泊酚进行麻醉。比较两组患者麻醉效果、不良反应发生率、平均动脉压、心率及脉搏氧饱和度情况。结果观察组患者麻醉见效时间、检查时间及护理满意度评分均优于对照组,差异具有统计学意义(P<0.05);且观察组患者不良反应发生率显著低于对照组(P<0.05);观察组患者在检测前、检测中、检测后的平均动脉压、心率及脉搏氧饱和度波动不大(P>0.05),对照组患者上述指标波动较大(P<0.05)。结论采用瑞芬太尼和丙泊酚对纤维支气管镜检查患者进行麻醉,能够有效提高患者对护理工作的满意度,且还能降低其术后并发症的发生率,值得研究。

Objective To study the clinical effect of painless anesthesia in fiberoptic bronchoscopy.Methods A total of 100 patients with fiberoptic bronchoscopy in our hospital from January 2016 to January 2017 were randomly divided into contron group and observation group,with 50 cases in each group.The control group was given fentanyl and propofol.The observation group was given remifentanil and propofol.The anesthetic effects,incidence of adverse reactions,mean arterial pressure,heart rate and pulse oxygen saturation were compared between the two groups.Results The time of anesthesia effective,examination time and nursing satisfaction score in the observation group were better than those in the control group,the difference were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was significantly lower than that in the control group(P<0.05).The mean arterial blood pressure,heart rate and pulse oxygen saturation of the observation group before bronchoscopy,during bronchoscopy and after bronchoscopy were not significantly different(P>0.05),and the above indicators in the control group fluctuated greatly(P<0.05).Conclusion The use of remifentanil and propofol in anesthesia of patients with fiberoptic bronchoscopy can effectively improve the nursing satisfaction,and reduce the incidence of postoperative complications,which is worthy of study.