两种复合静脉麻醉方法在无痛纤维支气管镜检查中的临床观察  

Clinical observation on two methods of combined intravenous anesthesia in painless bronchoscopy

作　　者：李福平[1] 

机构地区：[1]太钢总医院,山西太原030003

出　　处：《临床医药实践》2013年第6期417-419,共3页Proceeding of Clinical Medicine

摘　　要：目的:探讨丙泊酚和咪达唑仑复合舒芬太尼与丙泊酚和咪达唑仑复合地佐辛在无痛纤维支气管镜检查中的应用效果及安全性。方法:将60例接受无痛纤维支气管镜检查的患者随机分为两组,丙泊酚加咪达唑仑加舒芬太尼组(S组)和丙泊酚加咪达唑仑加地佐辛组(D组),监测并记录检查时各时段心率、平均动脉压、血氧饱和度及呛咳、体动、呼吸抑制、恶心呕吐等不良反应发生例数。结果:S组各时段各项生命体征较D组更加平稳,且麻醉不良反应小。结论:采用丙泊酚加咪达唑仑加舒芬太尼麻醉下行纤维支气管镜检查,麻醉效果好,对循环和呼吸系统影响小,并发症少。Objective：To discuss the efficacy and safety of propofol composite sufentanil plus midazolam and propofol compound dezocine plus midazolam used in painless bronchoscopy.Methods：Sixty patients were divided into two groups：propofol and midazolam plus sufentanil group（group S）and propofol and midazolam plus dezocine group（group D）,and monitoring records to check each time the heart rate,blood pressure,pulse oxygen saturation and choke to cough,respiratory depression,cases of adverse reactions such as nausea and vomiting occur.Results：The various vital signs of group S in each period during the inspection were more smoothly,and were less adverse reaction of anesthesia,than the D group.Conclusion：By use of propofol and midazolam plus sufentanil anesthesia for painless bronchoscopy is a kind of safe and less side effects method which has small impact on circulation and respiration.

关 键 词：无痛 纤维支气管镜 舒芬太尼 地佐辛 

分 类 号：R614[医药卫生—麻醉学]