连续超声雾化表面麻醉在纤维支气管镜检查术中的应用.docVIP

连续超声雾化表面麻醉在纤维支气管镜检查术中的应用 　　KKME---专业医学搜索引擎/ 　　　　连续超声雾化表面麻醉在纤维支气管镜检查术中的 　　应用 　　作者:冯俊光，杨兆强，袁古治，樊 勋 作者单位:广东省佛山市顺德区中西医结合医院呼吸内科，广东 佛山 528333 　　【摘要】 目的:探讨连续超声雾化表面麻醉在纤维支气管镜检查术中应用的可行性。方法:60例需做纤维支气管镜检查的患者，根据麻醉方法的不同随机分为A、B两组。A组采用传统的超声雾化表面麻醉，B组在A组基础上进行改良，采用连续超声雾化表面麻醉。观察:?纤维支气管镜检查过程中，患者的血压、心率、呼吸频率和氧饱和度的变化;?检查过程中追加药物次数、药物总量、呛咳程度、操作时间的比较;?麻醉效果。结果:与术前相比，A组术中及术后收缩压明显升高，心率及呼吸频率加快，氧饱和度下降，有显著性差异(P0.05或P0.01);与术前相比，B组术中心率及呼吸频率有一过性加快，氧饱和度有一过性下降(P0.01)，术毕恢复正常。与A组相比，B组操作时间明显缩短，追加药物次数及总量明显减少，严重呛咳程度明显降低，组间比较有显著性差异(P0.01);A组和B组的麻醉优良率分别为30.0%和66.7%，组间比较有显著性差异(P0.01)。结论:连续超声雾化表面麻醉具有麻醉效果好、插管过程安全、镜检操控性好、患者血流动力学稳定等优点,值得推广使用。 　　【关键词】 利多卡因;麻醉，吸入;支气管镜检查;超声疗法 　　Application of surface anesthesia by continuous ultrasonic 　　KKME---专业医学搜索引擎/ 　　atomizing inhalation in fiberoptic bronchoscopy 　　FENG Jun guang, YANG Zhao qiang, YUAN Gu zhi, et 　　al. 　　(Department of Respiratory Medicine, Shunde Hospital of Integrated Traditional Chinese and Western Medicine, Foshan City, Guangdong Province， Foshan 528333,China) 　　[ABSTRACT] Objective: To explore the feasibility of surface anesthesia by continuous ultrasonic atomizing inhalation in fiberoptic bronchoscopy. Methods: Sixty patients undergoing fiberoptic bronchoscopy were divided randomly into two groups (group A, B) according to different methods of anesthesia. Patients in group A (control group) practised conventional surface anesthesia by ultrasonic atomizing inhalation; patients in group B(study group) practiced modified surface anesthesia by continuous ultrasonic atomizing inhalation. The follow items of the patients were observed during the examination of fiberoptic bronchoscopy:? Blood pressure(BP), heart rate (HR), respiratory 　　frequency, oxygen saturation; ?Times of drug administration, total dose 　　of the drug used, extent of cough, operation time; ?Effect of anesthesia. 　　Results: Compared the observed items ? with that before the operation 　　in group A, systolic BP increased apparently during and after operation, HR and respiratory fr