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·腹部疾病·

不同麻醉方式在支气管镜检查麻醉中应用比较

作者:黄俊霞1 代彭威2 赵梅珍1 张秀珍1 刘晓伟1 陈 辉1 朱建业1

所属单位:1.漯河医学高等专科学校第二附属医院麻醉科(河南 漯河 463200) 2.漯河医学高等专科学校第二附属医院骨科 (河南 漯河 463200)

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摘要

目的 研究不同麻醉方式在支气管镜检查麻醉中的应用价值。方法 选取2013年3月至2016年3月104例在我院行支气 管镜检查患者为研究对象,将纳入患者抽签随机分为雾化吸入组与喉头喷雾组,每组52例。雾化吸入组给予雾化吸 入麻醉,喉头喷雾组给予喉头喷雾麻醉,比较两组的麻醉效果与不良反应情况。结果 雾化吸入组的优良率为96.2% 显著高于喉头喷雾组的82.7%(χ2 =4.981,P =0.026);雾化吸入组的不良反应总发生率为5.8%显著低于喉头喷雾组 的19.2%(χ2 =4.308,P =0.038)。结论 雾化吸入麻醉效果良好,药物深入气管与支气管,患者耐受性较高,值得临 床应用与推广。

Objective To study the application value of different anesthesia methods in bronchoscopy anesthesia. Methods From Mar. 2013 to Mar. 2016, 104 cases of patients with bronchoscopy in our hospital were selected as the research objects, and they were randomly divided into atomization inhalation group (52 cases) and throat spray group (52 cases). The atomization inhalation group was given atomization inhalation anesthesia, and the throat spray group was given throat spray anesthesia, the anesthetic effects and adverse reactions in the two groups were compared. Results The excellent rate in the atomization inhalation group was 96.2% which was obviously higher than that in the throat spray group 82.7% (χ2 =4.981,P=0.026). The total incidence rate of adverse reactions in the atomization inhalation group was 5.8% which was significantly lower than that in the throat spray group 19.2%(χ2 =4.308,P =0.038). Conclusion Atomization inhalation anesthesia whose drug is deep into patients' trachea and bronchus, has good anesthesia effect, and patients' tolerance is higher. Thus, it is worthy of clinical application and promotion.

【关键词】支气管镜;麻醉;雾化吸入;喉头喷雾

【中图分类号】R322.3+4

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.06.012

前言

支气管镜检查是呼吸科诊断与治疗手段,常用于 气管与支气管腔内病变等检查[1]。由于在检查过程中 需要将支气管镜置入气管与支气管,对咽喉部造成强 烈刺激,可能导致不耐受反应,因此麻醉方式的选择 对支气管镜检查成功进行具有重要意义[2]。目前针对 不同麻醉方式在支气管镜检查麻醉中应用比较研究较 少,因此本文选取2013年3月至2016年3月104例在我 院行支气管镜检查患者为研究对象,采用雾化吸入与 喉头喷雾两种麻醉方式,就研究结果探讨不同麻醉方 式在支气管镜检查麻醉中的效果,以期为临床应用提 供科学依据。