纤维支气管镜检查中不同影响因素的比较研究  

Comparison of different influence factors of fiberoptic bronchoscopy

作　　者：陈光菊[1] 

机构地区：[1]绵阳市中心医院内镜中心,四川绵阳621000

出　　处：《中国医学装备》2015年第4期83-86,共4页China Medical Equipment

摘　　要：目的：分析受检者纤维支气管镜检查（FB）中,不同禁食水时间对FB的影响差异。方法：选择接受FB的168例呼吸系统疾病患者,将其随机分为对照组和观察组。对照组患者术前禁食4-6 h,观察组患者术前禁食2 h,并比较两组血糖水平、应激水平、抑郁及焦虑情绪评分等差异。结果：1观察组患者禁食后操作前1 h、0.5 h、操作时及操作后各个时间点血糖值均明显高于对照组患者,差异有统计学意义（t=5.382,t=5.893,t=6.624,t=7.934;P〈0.05）;2观察组患者禁食水后的肾上腺素（E）、去甲肾上腺素（NE）及肾素（R）应激水平明显低于对照组患者,其差异有统计学意义（t=4.826,t=7.263,t=6.095;P〈0.05）;3禁食前两组患者的抑郁自评量表（SDS）及焦虑情绪评分（SAS）差异无统计学意义（t=0.637,t=4.958;P〉0.05）,检查前1 h及检查时观察组患者的SDS及SAS评分均明显低于对照组患者,其差异有统计学意义（t=6.382,t=6.562,t=4.958,t=7.632;P〈0.05）。结论：对呼吸系统疾病患者行FB前2 h禁食水更有利于维持患者的血糖稳定,降低应激水平,缓解患者负面情绪具有积极的临床意义。Objective：To analyze the different of water fasting time on fiberoptic bronchoscopy examination. Methods： Chosen patients in our hospital received fiberoptic bronchoscopy examination as research subjects, randomly divided into control group with 4-6 h preoperative fasting and observation group with 2 h fasting, and compared blood glucose levels, stress levels, depression and anxiety score. Results： 1） observation group patients’ blood glucose values after water fasting were significantly higher than control group patients （t=5.382, t=5.893, t=6.624, t=7.934; P〈0.05）;2）observation group patients’ stress levels were significantly lower than control group patients （t=4.826, t=7.263, t=6.095; P〈0.05）; 3） observation group patients’ depression and anxiety scores before fasting had no difference（t=0.637, t=4.958; P〉0.05）, SAS and SDS scores of observation group patients 1h before the examination and inspection were significantly lower than the control group patients （t=6.382, t=6.562, t=4.958, t=7.632;P〈0.05）. Conclusion：Two hours before bronchoscopy is more conducive to the maintenance of water fasting blood sugar stable patients, reduce stress levels, relieve negative emotions in patients with positive clinical significance.

关 键 词：纤维支气管镜 禁食禁水 应激水平 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]