氧气雾化利多卡因麻醉在电子支气管镜检查中的应用  

Application of surface anesthesia with oxygen atomized lidocaine in electronic bronchoscope examination

作　　者：徐锋 朱劲松 翟谢民 邢彦萍 

机构地区：[1]沧州市人民医院呼吸内科,061000

出　　处：《国际呼吸杂志》2012年第2期118-120,共3页International Journal of Respiration

基　　金：基金项目：沧州市科学技术研究与发展指导计划项目（10ZD59）

摘　　要：目的探讨利多卡因氧气雾化吸人表面麻醉在支气管镜检查术中应用效果。方法90例需做支气管镜检查的患者，根据麻醉方法的不同随机分为实验组（A组）、对照组1（B组）和对照组2（C组），每组30例。A组采用利多卡因氧气雾化吸入表面麻醉，B组采用咽部喷雾法，C组用环甲膜穿刺法。观察：比较支气管镜检查过程中患者的最高血压、心率、呼吸频率和最低氧饱和度的变化；检查过程中追加药物量、麻醉时呛咳及咯血、操作时间；麻醉效果及患者满意度。结果与B、C组相比，A组操作时间明显缩短，追加药物量、麻醉时呛咳及咯血明显降低，组间比较差异有统计学意义（P〈0．05）；三组最高血压、心率、呼吸频率和最低氧饱和度的变化比较：A组与B、C两组比较，各项生命指标更加平稳（P〈0．05），B、C两组比较差异无统计学意义（P〉0．05）；三组舒适性比较：与B、C两组比较，A组不适更少（P〈0．05）；B、C两组咽部不适、不良回忆、满意度比较差异无统计学意义（P〉0．05）；喉痉挛C组8．6％，B组10．6％，P〈0．05；三组检查顺利情况比较：与B、C两组比较，A组全部操作成功，90％优良（P〈0．05）；B、C两组比较，B组70％优良，C组77％优良，P〈0．05。结论利多卡因氧气雾化吸人表面麻醉具有麻醉效果好、检查过程安全、患者血流动力学稳定等优点，值得推广使用。Objective To investigate the effect of surface anesthesia with oxygen atomized lidocaine in electronic bronchoscope examination. Methods 90 patients proceeding electronic bronchoscope examination were randomly divided into three groups according to anesthesia：experimental group （group A）,control group one （group B）,control group two （group C）, 30 cases in each group. Patients in group A were received lidocaine inhalation of oxygen surface anesthesia. Patients in group t3 were received surface anesthesia of lidocaine throat spray. Patients in group C were received surface anesthesia of cricothyroid membrane puncture. Following index were observed： the most high blood pressure, heartrate, respiration rate, minimum oxygen saturation changes during electronic bronchoscope examination, volume of added drug, cough degree, examination time, effect of anesthesia and the satisfaction of patients. Results Compared with group 13 and C,group A had shorter operating time, the amount of additional drugs, cough and hemoptysisr （ P 〈 0.05）. The most high blood pressure, heart rate, respiratory rate and changes in minimum oxygen saturation of three group were compared： life indicator is more stable in group A （ P 〈0.05）. It was more comfortable in group A （ P 〈0. 05）. The throat discomfort,bad memories and satisfaction showed no significant difference between group B and group C （ P 〈0.05）. 8.6% had laryngospasm in group C,10.6% in group B （ P 〈0.05）. All of group A were successful,90% was good （ P 〈0.05） ,70% in group B,77% in group C （ P 〈0.05）. Conclusions There is a satisfied anesthesia effect, safety process of inserting electronic bronchoscope, stablehomodynamic effect using lidocaine inhalation of oxygen surface anesthesia in electronic bronchoscope examination, it is valuable to popularize the new means.

关 键 词：支气管镜 表面麻醉 雾化 利多卡因 

分 类 号：R614[医药卫生—麻醉学]