中国内镜杂志2011，Vol.17Issue(11)：1166-1168,1171,4.
无痛苦纤维支气管镜检查技术的临床应用
Clincal application of painless fibreoptic bronchoscopy
陈海珍 1李大茂 2邓建琴 3王春花1
作者信息
- 1. 宁夏回族自治区中卫市第二人民医院呼吸内科,宁夏中卫751700
- 2. 宁夏回族自治区中卫市第二人民医院麻醉科,宁夏中卫751700
- 3. 宁夏回族自治区中卫市第二人民医院内镜室,宁夏中卫751700
- 折叠
摘要
Abstract
[Objective] To investigate the safety and comfort of fentanyl and propofol combinations for intravenous anesthesia in fiberoptic bronchoscopy. [Methods] 62 cases undergone fiberoptic bronchoscopy were randomly assigned to receive local surface anesthesia (group Ⅰ , n =29), or intravenous anesthesia by fentanyl and propofol combinations (group Ⅱ, n =33). We measured heart rate (HR), systolic blood pressure (SBP), pulse oxygen saturation (SpO2) and arterial oxygen pressure (PaO2) during the preoperative, perioperative and postoperative stage respectively, recorded operation duration, observed adverse events and carried out questionnaire on patients. [Results] In the perioperative stage, the group II showed little change in HR, SBP and SPO2 compared with the group I (P <0.05). The duration of operation of the group Ⅱ was significantly shorter than that in the group I (P <0.05). After operation, HR, SBP, SPCK and PaO: did not show a significant difference between the two groups in change from baseline (P >0.05). Patients who could receive repeated fiberoptic bronchoscopy were 75.8% in the group II compared with 30.1% in the group Ⅰ. [Conclusion] Fentanyl and propofol combinations for intravenous anesthesia is safety and can improve comfort in painless fiberoptic bronchoscopy.cou关键词
纤维支气管镜/芬太尼/丙泊酚/麻醉Key words
fibreoptic bronchoscope/fentanyl/propofol/anesthesia分类
医药卫生引用本文复制引用
陈海珍,李大茂,邓建琴,王春花..无痛苦纤维支气管镜检查技术的临床应用[J].中国内镜杂志,2011,17(11):1166-1168,1171,4.
