不同麻醉方式在支气管镜检查麻醉中应用比较  

Comparison of Different Anesthesia Methods in Bronchoscopy Anesthesia

作　　者：黄俊霞[1] 代彭威[2] 赵梅珍[1] 张秀珍[1] 刘晓伟[1] 陈辉[1] 朱建业 HUANG Jun-xia;DAI Peng-wei;ZHAO Mei-zhen(Department of Anesthesiology, The Second Affliated Hospital of Luohe Medical College, Luohe 463200, Henan Province, Chin)

机构地区：[1]漯河医学高等专科学校第二附属医院麻醉科,河南漯河463200 [2]漯河医学高等专科学校第二附属医院骨科,河南漯河463200

出　　处：《罕少疾病杂志》2017年第6期29-31,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的研究不同麻醉方式在支气管镜检查麻醉中的应用价值。方法选取2013年3月至2016年3月104例在我院行支气管镜检查患者为研究对象,将纳入患者抽签随机分为雾化吸入组与喉头喷雾组,每组52例。雾化吸入组给予雾化吸入麻醉,喉头喷雾组给予喉头喷雾麻醉,比较两组的麻醉效果与不良反应情况。结果雾化吸入组的优良率为96.2%显著高于喉头喷雾组的82.7%(χ~2=4.981,P=0.026);雾化吸入组的不良反应总发生率为5.8%显著低于喉头喷雾组的19.2%(χ~2=4.308,P=0.038)。结论雾化吸入麻醉效果良好,药物深入气管与支气管,患者耐受性较高,值得临床应用与推广。Objective To study the application value of different anesthesia methods in bronchoscopy anesthesia.Methods From Mar.2013 to Mar.2016,104 cases of patients with bronchoscopy in our hospital were selected as the research objects,and they were randomly divided into atomization inhalation group（52 cases） and throat spray group（52 cases）.The atomization inhalation group was given atomization inhalation anesthesia,and the throat spray group was given throat spray anesthesia,the anesthetic effects and adverse reactions in the two groups were compared.Results The excellent rate in the atomization inhalation group was 96.2% which was obviously higher than that in the throat spray group 82.7%（χ^2=4.981,P=0.026）.The total incidence rate of adverse reactions in the atomization inhalation group was 5.8% which was significantly lower than that in the throat spray group 19.2%（χ^2=4.308,P =0.038）.Conclusion Atomization inhalation anesthesia whose drug is deep into patients＇ trachea and bronchus,has good anesthesia effect,and patients＇ tolerance is higher.Thus,it is worthy of clinical application and promotion.

关 键 词：支气管镜 麻醉 雾化吸入 喉头喷雾 

分 类 号：R322.34[医药卫生—人体解剖和组织胚胎学]