摘要
目的观察清醒镇静对患者支气管镜检查耐受度的影响。方法将我院在2015年1月—2016年12月收治的300例接受支气管镜检查的患者作为本次研究对象,随机分为观察组和对照组,每组患者各150例。所有患者均需要进行利多卡因局部麻醉,观察组在此基础上使用芬太尼和咪达唑仑进行静脉滴注,对照组患者只加用生理盐水。支气管镜检查包含活检、刷检、冲洗以及支气管肺泡灌洗等,对两组患者的耐受情况、不良事件发生率以及镜检所需的操作时间等进行比较。结果观察组患者的耐受度与对照组患者的耐受度相比,差异有统计学意义(P<0.05);两组患者的不良事件发生率、操作时间差异无统计学意义(P>0.05)。结论清醒镇静可以使患者在支气管镜检的过程中提高耐受度,效果较为显著,但是在使用中需要避免发生相应的风险。
Objective To observe the effects of conscious sedation on patient tolerance during bronchoscopy. Methods Three hundred patients who underwent bronchoscopy from January 2015 to December 2016 were randomly divided into an observation group and a control group:150 patients in each group.All patients needed to receive local anesthesia with lidocaine,on the basis of local anesthesia,the observation group patients were also given intravenous drop infusion with fentanyl and midazolam,the control group patients were additionally given use of only saline.Bronchoscopy including biopsy,brush biopsy,bronchial washing and bronchoalveolar lavage.The patient tolerance,the incidence of adverse events and duration of operation time were compared between the two groups. Results Comparison of patient tolerance between the observation and the control group showed that there was statistically significant difference(P <0.05).Comparison of the incidence of adverse events and duration of operation time between the two groups yielded that there were no statistically significant differences(P >0.05). Conclusion The conscious sedation can improve patient tolerance in the course of bronchoscopy,the effect is more satisfactory,but in practical use it needs to avoid the corresponding risks.
出处
《右江民族医学院学报》
2017年第5期357-359,共3页
Journal of Youjiang Medical University for Nationalities
基金
河池市2015年市级课题(复合镇静在支气管镜检查中的应用,河科推1549-6)
