ManujetⅢ装置组合鼻咽部改良吸氧管在无痛支气管镜检查中的应用

Application of ManujetⅢdevice combined with improved nasopharynx oxygen tube in painless bronchoscopy

目的观察ManujetⅢ装置组合鼻咽部改良吸氧管在无痛支气管镜检查中的应用效果。方法选取行无痛支气管镜检查的120例患者为研究对象,随机分为观察组(给予常规鼻咽部持续给氧联合ManujetⅢ组合鼻咽部改良吸氧管)和对照组(给予常规鼻咽部持续给氧),每组60例。比较2组平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_(2))、诱导时间、镜检时间、苏醒时间、一次检查成功率、患者满意度、医师满意度及不良反应发生率。结果重复测量方差分析显示,2组MAP、HR、SpO_(2)存在时间、组间及时间与组间交互作用,差异有统计学意义(P<0.05);在镜检5 min、镜检10 min以及镜检后,观察组MAP低于对照组,HR、SpO_(2)高于对照组,差异有统计学意义(P<0.05)。2组诱导时间比较,差异无统计学意义(P>0.05);观察组镜检时间、苏醒时间短于对照组,一次检查成功率高于对照组,差异有统计学意义(P<0.05)。观察组的患者满意度、医师满意度均高于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率为5.00%,低于对照组的18.33%,差异有统计学意义(P<0.05)。结论常规鼻咽部持续给氧联合ManujetⅢ组合鼻咽部改良吸氧管行声门上手控辅助喷射通气有利于提供充分氧供,并降低低氧血症发生率。

Objective To observe the application effect of ManujetⅢdevice combined with improved nasopharynx oxygen tube in painless bronchoscopy.Methods A total of 120 patients with painless bronchoscopy were selected as the research objects,and they were randomly divided into observation group(treated with routine continuous nasopharynx oxygen supply and ManujetⅢcombined with improved nasopharynx oxygen tube)and control group(treated with routine continuous nasopharynx oxygen supply),with 60 cases in each group.Mean arterial pressure(MAP),heart rate(HR),the saturation of peripheral oxygen(SpO_(2)),induction time,microscopic examination time,awakening time,success rate of examination by one time,patient′s satisfaction degree,physician′s satisfaction degree and incidence of adverse reactions were compared between two groups.Results Repeated measurement analysis of variance showed that there were significant differences in the time,inter-group and time to group interactions of MAP,HR and SpO_(2) between the two groups(P<0.05);at the time points of 5 minutes of microscopic examination,10 minutes of microscopic examination and after microscopic examination,the MAP in the observation group was significantly lower than that in the control group,while HR and SpO_(2) were significantly higher than those in the control group(P<0.05).There was no significant difference in induction time between the two groups(P>0.05);in the observation group,the microscopic examination time and awakening time were significantly shorter than those in the control group,while the success rate of examination by one time was significantly higher than that in the control group(P<0.05).The patient′s satisfaction degree and physician′s satisfaction degree in the observation group were significantly higher than those in the control group(P<0.05).The incidence of adverse reactions in the observation group was 5.00%,which was significantly lower than 18.33%in the control group(P<0.05).Conclusion The combination of routine continuous nasopharynx oxygen supply and ManujetⅢcombined with improved nasopharynx oxygen tube for supraglottal manual assisted jet ventilation is beneficial for providing sufficient oxygen supply and reducing the incidence of hypoxemia.