右美托咪定联合利多卡因雾化吸入麻醉对纤维支气管镜检查患者镇静效果和麻醉苏醒质量的影响  

Impact of Dexmedetomidine Combined with Lidocaine Aerosol Inhalation Anesthesia on Sedative Effect and Quality of Anesthesia Recovery in Patients with Fiberoptic Bronchoscopy

作　　者：刘文良[1] 余雪美 熊朝晖[1] LIU Wenliang;YU Xuemei;XIONG Zhaohui(Department of Anesthesiology,Guang'an People's Hospital,Guang'an 638000,China;Guang'an Huatai Kuige Hospital,Guang'an 638000,China)

机构地区：[1]广安市人民医院麻醉科,四川广安638000 [2]广安华泰奎阁医院,四川广安638000

出　　处：《临床医学工程》2023年第10期1347-1348,共2页Clinical Medicine & Engineering

基　　金：四川省卫生健康委员会科研课题(20PJ310)。

摘　　要：目的 探讨右美托咪定联合利多卡因雾化吸入麻醉对纤维支气管镜检查患者镇静效果以及麻醉苏醒质量的影响。方法 180例行纤维支气管镜检查患者随机分为两组各90例。对照组予以利多卡因雾化吸入麻醉,研究组予以右美托咪定联合利多卡因雾化吸入麻醉。比较两组的镇静效果、麻醉苏醒质量及不良反应。结果 研究组插管时、插管后1 min及插管后5 min的Ramsay镇静评分均显著高于对照组(P<0.05)。研究组的麻醉起效时间及呼吸恢复时间均显著短于对照组(P<0.05)。研究组的不良反应总发生率为2.22%,显著低于对照组的10.00%(P<0.05)。结论 右美托咪定联合利多卡因雾化吸入麻醉对纤维支气管镜检查患者的镇静效果较好,并可明显提升患者麻醉苏醒质量,减少不良反应的发生。Objective To explore the impact of dexmedetomidine combined with lidocaine aerosol inhalation anesthesia on sedative effect and quality of anesthesia recovery in patients with fiberoptic bronchoscopy.Methods 180 patients with fiberoptic bronchoscopy were randomly divided into two groups,with 90 cases in each group.The control group was given lidocaine aerosol inhalation anesthesia,and the study group was given dexmedetomidine combined with lidocaine aerosol inhalation anesthesia.The sedative effect,quality of anesthesia recovery and adverse reactions were compared between the two groups.Results The Ramsay sedation scores at intubation,1 minute after intubation and 5 minutes after intubation in the study group were significantly higher than those in the control group(P<0.05).The anesthesia onset time and respiratory recovery time in the study group were significantly shorter than those in the control group(P<0.05).The total incidence of adverse reactions in the study group was 2.22%,significantly lower than 10.00%in the control group(P<0.05).Conclusions Dexmedetomidine combined with lidocaine aerosol inhalation anesthesia has good sedative effect on patients with fiberoptic bronchoscopy,and can significantly improve the quality of anesthesia recovery and reduce the occurrence of adverse reactions.

关 键 词：纤维支气管镜检查 利多卡因 右美托咪定 镇静效果 麻醉苏醒质量 

分 类 号：R614[医药卫生—麻醉学]