两种麻醉方法在支气管镜检查中的麻醉效果比较  

Comparison of anesthetic effect between two anesthesia methods in bronchoscopy

作　　者：王莹莹 李瑞锐 WANG Ying-ying;LI Rui-rui(Endoscopy Center, Suqian First People′s Hospital, Jiangsu Province, Suqian 223800, China;Infection Management, Suqian First People′s Hospital, Jiangsu Province, Suqian 223800, China)

机构地区：[1]江苏省宿迁市第一人民医院内镜中心,江苏宿迁223800 [2]江苏省宿迁市第一人民医院感染管理处,江苏宿迁223800

出　　处：《中国当代医药》2019年第24期108-110,共3页China Modern Medicine

摘　　要：目的探讨两种不同麻醉方法在支气管镜检查中的麻醉效果。方法选取2017年6月~2018年6月在我院进行支气管镜检查的140例患者作为研究对象,随机分为实验组和对照组,每组各70例。实验组采用氧驱动利多卡因雾化吸入加利多卡因喉头喷雾法,对照组采用氧驱动利多卡因雾化吸入加利多卡因鼻腔黏膜滴注法,比较两组的麻醉效果优良率、麻醉起效时间和利多卡因用量的差异。结果实验组的麻醉效果优良率(95.71%)高于对照组(84.29%),差异有统计学意义(P<0.05);实验组的麻醉起效时间短于对照组,差异有统计学意义(P<0.05);实验组利多卡因用量少于对照组,差异有统计学意义(P<0.05)。两组患者术前3min及术中3min的心率、血氧饱和度比较,差异均无统计学意义(P>0.05)。结论氧驱动利多卡因雾化吸入加利多卡因喉头喷雾法的效果优于利多卡因鼻腔黏膜滴注法。Objective To investigate the anesthetic effect of two different anesthesia methods in bronchoscopy. Methods A total of 140 patients who underwent bronchoscopy in our hospital from June 2017 to June 2018 were selected as the subjects. They were randomly divided into the experimental group and the control group, with 70 cases in each group. In the experimental group, patients were given oxygen-driven Lidocaine inhalation plus Lidocaine throat spray, and in the control group, patients were given oxygen-driven Lidocaine inhalation plus Lidocaine nasal mucosa dripping. The excellent and good rate, onset time of anesthesia, and dose of Lidocaine difference were compared in the two groups. Results The excellent and good rate of anesthesia in the experimental group was 95.71%, higher than that in the control group accounting for 84.29%(P<0.05). The onset time of the anesthesia in the experimental group was shorter than that in the control group with statistical significance (P<0.05). The dose of Lidocaine in the experimental group was less than that in the control group with a significant difference (P<0.05). There were no significant differences in heart rate and blood oxygen saturation between the two groups 3 min before surgery and 3 min after surgery (P>0.05). Conclusion Oxygen-driven Lidocaine aerosol inhalation plus Lidocaine throat spray is superior to Lidocaine nasal mucosal dripping.

关 键 词：支气管镜检查 麻醉方法 利多卡因 喉头喷雾 

分 类 号：R614[医药卫生—麻醉学]