喉罩联合静脉麻醉在无痛支气管镜检查中的应用

Application of Laryngeal Mask Combined with Intravenous Anesthesia in Painless Bronchoscopy

目的:对比支气管镜检查中传统表面麻醉与喉罩+静脉麻醉的应用效果及不良反应发生情况。方法:纳入本院2016年6月-2019年6月接诊的支气管镜检查患者60例,根据电脑随机匹配方法将患者分为对照组和试验组,各30例。对照组予以表面麻醉,试验组予以喉罩联合静脉麻醉。对比两组不同时间点心率、收缩压、舒张压变化情况以及检查时间、不良反应发生情况。结果:两组T1、T2、T5的心率、收缩压、舒张压比较,差异均无统计学意义(P>0.05);试验组T3、T4的心率、收缩压、舒张压均明显低于对照组,差异均有统计学意义(P<0.05)。试验组检查时间明显短于对照组,差异有统计学意义(P<0.05)。试验组不良反应发生率为6.67%,明显低于对照组的33.33%,差异有统计学意义(P<0.05)。结论:喉罩联合静脉麻醉应用于无痛支气管镜检查中,可提高患者检查期间生命体征稳定性,缩短检查时间,且不良反应较少,值得借鉴。

Objective:To compare the application effect and adverse reactions of traditional surface anesthesia and laryngeal mask+intravenous anesthesia in painless bronchoscopy.Method:Sixty patients with bronchoscopy who were admitted to our hospital from June 2016 to June 2019 were enrolled,according to the computer random matching method,the patients were divided into control group and experimental group,30 cases in each group.The control group received superficial anesthesia,and the experimental group received laryngeal mask combined with intravenous anesthesia.The changes of heart rate,systolic blood pressure and diastolic blood pressure at different time points,examination time and adverse reactions were compared between the two groups.Result:Heart rate,systolic blood pressure and diastolic blood pressure of T1,T2 and T5 in the two groups were not statistically significant(P>0.05);heart rate,systolic blood pressure and diastolic blood pressure of experimental group T3 and T4 were significantly lower than those of control group,with statistically significant differences(P<0.05).The test time of the experimental group was significantly shorter than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the experimental group was 6.67%,which was significantly lower than 33.33%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of laryngeal mask combined with intravenous anesthesia in painless bronchoscopy can improve the stability of patients’vital signs during examination,shorten the examination time,and have fewer adverse reactions,which is worthy of reference.