正压通气结合全麻下无痛支气管镜检查的临床应用  

Painless bronchoscopy under general anesthesia combined with positive pressure ventilation

作　　者：廖秀清[1] 张孝彬[1] 古嫦英[1] 唐楠[1] 王琴[1] 王长征[2] 

机构地区：[1]重庆市涪陵中心医院呼吸内科,重庆408000 [2]第三军医大学新桥医院全军呼吸内科研究所,重庆400037

出　　处：《海南医学》2010年第19期29-30,23,共3页Hainan Medical Journal

摘　　要：目的评价经气管插管正压通气结合全麻下行支气管镜检查的安全性和舒适性。方法将拟行无痛支气管镜检查的80例患者随机分为两组:对照组(静脉复合麻醉组,40例)和试验组(静脉复合麻醉+正压通气组,40例)。观察记录两组患者术中的不良反应、呼吸循环指标的变化以及术后患者的舒适性评价指标。结果对照组中有3例中断检查,试验组无中断检查病例。对照组呛咳和躁动发生率均显著高于试验组(P<0.05),两组恶心呕吐发生率无统计学意义(P>0.05)。两组患者满意率均为100%,舒适性评价指标差异无统计学意义(P>0.05)。结论正压通气结合全麻下行支气管镜检查简单易行,改善了患者的舒适性而且安全性显著提高,值得临床推广。Objective To evaluate the clinical application of the painless bronchoscopy under general anesthesia combined with positive pressure ventilation （PPV）.Methods Patients who received painless bronchoscopy were randomly divided into control group （bronchoscope under intravenous anesthesia,n=40） and test group （bronchoscope under intravenous anesthesia combined with PPV,n=40）.Patients’ adverse reaction,index of respiration and circulation,comfort index were recorded.Results Three patients had to stop bronchoscopy in control group because of the severity adverse reaction but no patient stopped in test group.The ratio of bucking and restlessness was significantly higher in control group than in test group （P0.05）.There was no difference in the ratio of nausea and vomiting between the two groups.The ratio of satisfaction was 100% in the two groups and there was no difference in comfort index between the two groups.Conclusion The painless bronchoscopy under general anesthesia combined with positive pressure ventilation is simple and easy to proceed.The technique is worth of being recommended for a wider use because of its excellent security and comfort.

关 键 词：麻醉 支气管镜 正压通气 

分 类 号：R614.2[医药卫生—麻醉学]