| 刘同刚 顾兴 张贵和 田博振 杨明芳 仝宗刚 何小勇 任军华.西北地区无痛支气管镜的临床应用[J].,2015,15(2):325-327 |
| 西北地区无痛支气管镜的临床应用 |
| The Clinical Application of Painless Bronchoscopy in Northwest Area |
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| DOI： |
| 中文关键词: 支气管镜 无痛 利多卡因 优越性 |
| 英文关键词: Bronchoscopy Painless Lidocaine Superiority |
| 基金项目: |
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| 中文摘要: |
| 目的：观察西北地区开展无痛支气管镜检查方法的优越性。方法：将600 例患者随机分为A、B 两组，A 组为观察组，给予异
丙酚复合瑞芬太尼静脉麻醉法，经喉罩人工辅助通气，B 组为对照组，给予单纯利多卡因表面麻醉，方法为利多卡因氧气加压口鼻
面罩雾化，鼻腔、气管内滴药，连续观察患者在支气管镜诊疗前、过程中血压、心率、血氧饱和度变化及术中、术后反应情况。结果：
观察组气管镜操作前、中的血氧饱和度无明显改变，心率、血压有所升高，术后舒适度明显高于对照组。结论：无痛支气管镜诊疗
时可以获得满意的麻醉效果，优于常规局麻法，值得临床推广应用。 |
| 英文摘要: |
| Objective:To observe the superiority of the painless bronchoscopy under general anesthesia.Methods:600 patients
were randomly divided into two groups, Group A as observation group and group B as control group. There were 300 cases in group A
under general anesthesia, given propofol and remifentanil, and others in group B given lidocaine in throats and local tachea with Pressure
atomization, the blood pressure levels, heart rate and pulse oxygen saturation in operation and after operation continuously observed.Results:Compared with preoperative situations, the pulse oxygen saturation was no significantly different in Group A during
bronchoscopy, blood pressure levels and heart rate increased, and patients in group A felt more comfortable than those in group B.Conclusion:Painless bronchoscopy has better quality, less bad memories, and more acceptability by patients, and it deserves further
application in clinic. |
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