术者床侧站位在床边支气管镜诊治中的应用  

Application of operator standing bedside in bronchoscopy

作　　者：陈小可[1] 周一平[1] 夏利萍[1] 李艾芬[1] 刘慧[1] 刘念[1] 

机构地区：[1]广东医学院附属深圳福田人民医院呼吸科,广东深圳518033

出　　处：《临床肺科杂志》2016年第3期426-428,共3页Journal of Clinical Pulmonary Medicine

基　　金：深圳市科技研发资金基础研究项目(No JCYJ20140416094256887)

摘　　要：目的观察床边支气管镜检查时,操作者床侧站位的意义。方法 100例床边支气管镜检查患者,随机分为观察组、对照组两组,每组50例,观察组采用操作者床侧站位、对照组采用常规床头站位,对比两组操作的有效性及便利性。结果观察组操作准备时间显著少于照组(P<0.001);操作时间两组无显著差异。术中观察组最低经皮血氧饱和度高于对照组(P<0.01),而最快心率较对照组慢(P<0.01)。结论操作者床侧站位较之常规床头站位,技术难度无明显增加,而操作准备时间显著缩短,且操作中术者可随时观察监护仪,患者更平稳,有一定临床推广价值。Objective To observe the effect of operator standing bedside on bronchoscopy. Methods 100 cases of bedside fibrobronchoscopy patients were randomly divided into the observation group and the control group, 50 cases in each group. The observation group was with the operator standing bedside, and the control group with the operator standing at the head of bed, as usually. The validity and convenience were compared between the two groups. Results In the observation group, the preparing time was significantly shorter than that in the control group （1.2 ±0.3 mvs 4. g ±1.6 m, P 〈 0. 001 ）. There was no significant difference in operation time between the two groups （ 11.4 ± 4. 8 m vs 11.6 ± 5. 1 m, P = 0. 840）. The lowest percutaneous oxygen saturation was higher in the observation group than in the control group （92. 7 ± 3.8% vs 90. 2 ±4. 3%, P 〈 0. 01 ）, while the maximum heart rate was slower in the observation group than in the control group （ 112 ± 10 vs 119 ± 12, P 〈0. 01 ）. Conclusion For critical patients, bronchoscopy with operator standing bedside is not hard to carry out, while the preparing time is significantly shortened. The operator can observe the monitor by himself and the patient＇s condition is more stable.

关 键 词：纤维支气管镜 危重医学 气道管理 

分 类 号：R614[医药卫生—麻醉学]