纤维光束支气管镜在临床麻醉中的应用

Application of Fiber Optic Bronchoscope in Clinical Anesthesia

目的:探讨纤维光束支气管镜在临床麻醉中的应用。方法:选取2022年8月~2023年8月于本院需要外科手术治疗的患儿54例,随机分为两组。对照组应用喉镜气管插管麻醉,研究组应用纤维光束支气管镜插管麻醉,对两组的血流动力学指标变化情况,定位时间、拔除时间、苏醒时间、插管所用时间以及一次性定位成功率、不良反应发生率进行对比。结果:对照组各时点的血氧饱和度、心率变化不明显,研究组患儿血氧饱和度没有明显变化,但置入后1min、拔除即刻的心率比置入前高,且和对照组相比差异有统计学意义(P<0.05);研究组定位时间、拔除时间、苏醒时间、插管所用时间均比对照组短(P<0.05);研究组一次性定位成功率比对照组高,术后咽喉痛、麻醉苏醒期躁动、术后呛咳屏气、喉痉挛发生率比对照组低(P<0.05)。结论:儿童外科手术治疗中应用纤维光束支气管镜气管插管麻醉效果理想,可以缩短插管时间,提高一次性定位成功率,降低不良反应发生率。

Objective:To investigate the application of fiber beam bronchoscopy in clinical anesthesia.Methods:A total of 54 children requiring surgical treatment in our hospital from August 2022 to August 2023 were randomly divided into two groups.The control group received laryngoscope tracheal intubation anesthesia,and the study group received fiberoptic bronchoscope intubation anesthesia.The changes of hemodynamic indexes,positioning time,extraction time,recovery time,intubation time,one-time positioning success rate and incidence of adverse reactions were compared between the two groups.Results:The changes of blood oxygen saturation and heart rate at each time point in the control group were not obvious,and the changes of blood oxygen saturation in the study group were not obvious,but the heart rate 1min after implantation and immediately after removal was higher than that before implantation,and the difference was statistically significant compared with the control group(P<0.05).The positioning time,extraction time,recovery time and intubation time of the study group were shorter than those of the control group(P<0.05).The success rate of one-time localization in the study group was higher than that in the control group,and the incidence of postoperative sore throat,agitation during anesthesia recovery,postoperative choking breath holding and laryngeal spasm were lower in the study group than in the control group(P<0.05).Conclusion:The application of fiberoptic bronchoscope endotracheal intubation anesthesia in pediatric surgery is ideal,which can shorten the intubation time,improve the success rate of one-time positioning,and reduce the incidence of adverse reactions.