无痛支气管镜诊疗麻醉现状与进展  

Status and Progress of Anesthesia in the Painless Bronchoscopy

作　　者：王冰洁 高逸龙 高金贵[1] 

机构地区：[1]河北医科大学第二医院麻醉科,河北 石家庄 [2]郑州大学医学院2018级临床6班,河南 郑州

出　　处：《临床医学进展》2021年第5期2306-2319,共14页Advances in Clinical Medicine

摘　　要：支气管镜诊疗技术在临床实践中应用广泛,目前已成为肺科学疾病诊疗的重要方法。传统的支气管镜诊疗仅采用局部表面麻醉,患者术中保持清醒,易产生剧烈的生理、心理反应。无痛技术在支气管镜诊疗中的应用可有效降低应激反应,提高患者的舒适度,增加诊疗的成功率。本文从麻醉药物、气道管理方式等角度对近年无痛支气管镜诊疗麻醉方法的现状/进展进行综述,以期为今后无痛支气管镜诊疗临床工作的开展提供借鉴。Bronchoscopy has been developed as an important and widely used method for the diagnosis and treatment of pulmonary diseases. Traditional bronchoscopy only uses topical anesthesia, and patients remain awake during the operation, which is likely to produce severe physiological and psychological reactions. The application of painless technology in the bronchoscopy can reduce the stress response effectively, improve the comfort of patients and increase the success rate of bronchoscopy. This article reviews the current status and progress of anesthesia methods in painless bronchoscopy from the perspectives of anesthetic drugs and airway management, in order to provide reference for the clinical work of painless bronchoscopy in the future.

关 键 词：无痛支气管镜 镇静 镇痛 气道管理 

分 类 号：R47[医药卫生—护理学]