麻醉前预处理对气道高反应性患者麻醉期间支气管痉挛的预防效果观察  

The preventive effect of pretreatment on bronchospasm during anesthesia in patients with airway hyperresponsiveness

作　　者：张涵[1] 

机构地区：[1]四川省崇州市人民医院麻醉科,四川成都611230

出　　处：《实用医院临床杂志》2014年第2期43-45,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨对气道高反应性患者的麻醉处理。方法 286例气道高反应患者分为两组。预处理组(A组)143例,麻醉前给予预处理;对照组(B组)143例,麻醉前未给予预处理。观察两组患者麻醉中出现支气管痉挛的发生率。结果两组患者麻醉中支气管痉挛发生率差异有统计学意义(P<0.05)。结论麻醉前给予糖皮质激素、较大剂量抗胆碱药、利多卡因等预处理及详细的术前病史采集,合理麻醉方案可有效防止支气管痉挛的发生。Objective To explore the anesthesia management for patients with airway hyperresponsiveness. Methods Two hundred eightyZsix patients with airway hyperresponsiveness were randomly divided into two groups： pretreatment group（n = 143）with a treatment before anesthesia and control group（ n = 143）without treatment before anesthesia. The incidence of bronchospasm was compared between the two groups. Results The difference of incidence of bronchospasm was statistically significant between the two groups （P 〈 0. 05 ）. Conclusion Administration of corticosteroids,large doses of anticholinergic agent and lidocaine before anesthesia, as well as collection of detailed preoperative medical history and application of rational anesthesia scheme can effectively prevent the bronchospasm.

关 键 词：气道高反应性 麻醉处理 预处理 支气管痉挛 

分 类 号：R614.2[医药卫生—麻醉学]