面罩吸氧下不同麻醉方式在支气管镜检查中的应用观察  

Oxygen masks under different anesthetic methods in the application of bronchoscopy

作　　者：李正付[1] 陈诚[1] 姜华星 刘富兵[1] 史文艳 

机构地区：[1]遵义医学院附属医院呼吸二科,贵州遵义563000

出　　处：《临床医药文献电子杂志》2016年第24期4732-4733,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨面罩吸氧下不同麻醉方式在支气管镜检查中的可行性。方法选取2015年1月~2016年1月我院收治的择期行支气管镜检查的患者116例作为研究对象,将其随机分为七氟醚复合丙泊酚组（S组）和丙泊酚组（L组）,各58例。两组患者在术前均雾化吸入2%利多卡因5 m L;S组吸入七氟醚和静脉注射丙泊酚;L组静脉注射丙泊酚。麻醉维持：两组患者均静脉间断注射丙泊酚,保留自主呼吸,并予以面罩高流量吸氧。观察麻醉过程中生命体征和不良反应。结果两组患者均顺利完成检查,血压较麻醉前降低,差异无统计学意义（P〉0.0）。在诱导后组间Sp O2、声门开闭是否良好,差异有统计学意义（P〈0.05）,其他发生的反应性症状及并发症两组比较,差异无统计学意义（P〈0.05）。结论面罩吸氧下丙泊酚联合七氟醚麻醉可应用于无痛支气管镜检查。Objective To explore the oxygen mask under different anesthesia method feasibility in bronchoscopy. Methods 116 cases of patients undergoing elective line bronchoscopy sevoflurane composite propofol were randomly divided into group（S） and propofol group（L）, 58 cases in each group, two groups of patients in preoperative atomization inhalation of 2% lidocaine 5 ml; S set of sevoflurane inhalation and intravenous propofol; L group of intravenous injection of propofol. Maintain anesthesia： two groups of patients were intravenous injection of propofol, retain spontaneous breathing, and high flow oxygen masks. Observing vital signs and adverse reaction in the process of anesthesia. Results Two groups patients were successfully completed examination, blood pressure is lower before anesthesia, there was no significant difference between groups. Sp O2 between groups after induction, the open and close the glottis whether good was statistically significant, other reactive symptoms and complications occurred in 2 groups was no significant difference. Conclusion Oxygen masks under propofol sevoflurane anesthesia joint can be applied to painless bronchoscopy.

关 键 词：支气管镜 面罩 七氟醚 丙泊酚 

分 类 号：R614[医药卫生—麻醉学]