经鼻咽通气道供氧对全麻纤维支气管镜检查的影响  

Effect of oxygenation by nasopharyngeal airway on patients undergoing painless fiberoptic bronchoscopy

作　　者：王国军[1] 周宁[1] 张继刚[1] 何绍明[1] 

机构地区：[1]解放军第四五四医院麻醉科,江苏省210002

出　　处：《江苏医药》2013年第1期74-75,共2页Jiangsu Medical Journal

摘　　要：目的观察全麻纤维支气管镜检查中经鼻咽通气道连接麻醉机供氧的临床效果。方法 40例全麻下行纤维支气管镜检查患者随机均分为两组:N组术中经鼻导管供氧,NP组经鼻咽通气道连接麻醉机供氧;两组氧流量均为3L/min。麻醉采用静脉注射芬太尼0.05-0.10mg,继以靶控浓度2.5-4.0μg/ml持续输注丙泊酚维持。麻醉后插入鼻咽通气管,保留自主呼吸。记录术中BP、HR、SpO2和呼吸抑制发生情况。结果与N组相比,NP组呼吸抑制和需要面罩辅助呼吸次数明显减少(P<0.05)。结论全麻纤维支气管镜检查中经鼻咽通气道连接麻醉机通气方法简便、供氧效果良好,有利于术者操作。Objective To evaluate the clinical effect of oxygenation by modified nasopharyngeal airway connected to anesthesia machine on the patients undergoing painless fiberoptic bronchoscopy. Methods Forty patients undergoing painless fiberoptic branchoscopy were equally randomized into two groups of N（oxygenation by nose pipe） and NP（oxygenation by nasopharyngeal airway）. The patients were given intravenous infusion of fentanyl 0.05-0. 10 rag, which was followed by target- controlled infusion （TCI） of propofol 2.5-4.0 μg/ml. Spontaneous breathing was kept during operation. Blood pressure, heart rate, SpO2 and respiratory suppression and side-effects were recorded. Results Compared to group N,the frequency of apnea and need for face mask assistant were less in group NP（P〈0.05）. Conclusion Oxygenation by nasopharyngeal airway connected with anesthesia machine is safe and effective for the patients undergoing painless fiberoptic bronchoscopyo

关 键 词：全身麻醉 鼻咽通气道 纤维支气管镜检查 

分 类 号：R614[医药卫生—麻醉学]