经鼻高流量氧疗在无痛纤维支气管镜检查术中的应用  

The Effects of High-flow Nasal Cannula Oxygen Therapy in the Anesthesia of Fiberbronchoscopy Examination

作　　者：陈一丽[1] CHEN YI- li(Fujian Cancer Hospital & Fujian Medical University Cancer Hospital (Fujian Fuzhou 350014)

机构地区：[1]福建省肿瘤医院,福建医科大学附属肿瘤医院

出　　处：《中国医疗器械信息》2019年第10期1-2,共2页China Medical Device Information

摘　　要：目的:观察经鼻高流量氧疗在无痛纤维支气管镜检查术中的应用效果。方法:38例接受无痛纤维支气管镜检查术患者随机分为经鼻高流量氧疗组(A组)和传统经鼻给氧组(B组)。比较两组患者检查前、中、后的脉搏氧饱和度(SpO2)、平均动脉压(MAP)、心率(HR),术前、术中、术毕的血气分析和呼吸频率(RR),记录呛咳、呼吸抑制等不良发生率。结果:A组在操作过程中呼吸平稳,血流动力学的稳定、镇静镇痛效果,术中、术后血气分析、不良反应等方面都明显优于B组。结论:经鼻高流量氧疗在无痛纤维支气管镜中的应用效果是确切可靠,患者舒适、生命征平稳,无呛咳、呼吸抑制等不良反应。Objective: To explore the clinical effects of High-flow nasal cannula oxygen therapy in the anesthesia of fiberbronchoscopy examination. Methods: Thirty-eight patients for fiberbronchoscopy examination were randomly divided into two groups. The patients in group A received High-flow nasal cannula oxygen therapy, and in group B given the coventional oxygen therapy. Record SpO2, MAP, HR, RR and the analysis of arterial blood gas (ABG) at different time points such as before, during and after examination. Meanwhile, body movement during it, respiratory depression scale, also the anesthesia effect were recorded. Results: Patients in group A were more comfortable, keeping breath and hemodynamic stable. Side effects especially respiratory depression were less. The patients were pleased with the anesthesia. Conclusion: The use of High-flow nasal cannula oxygen therapy in the anesthesia of fiberbronchoscopy examination is effective .

关 键 词：经鼻高流量氧疗 纤维支气管镜检查 麻醉 氧疗 

分 类 号：R614[医药卫生—麻醉学]