摘要
目的:探讨喉罩通气全麻下支气管镜诊疗的应用及效果。方法:2018年1月-2019年1月收治择期进行全麻下经纤维支气管镜检查的患者72例,随机分为两组,各36例。对照组在自主呼吸非插管全麻下行支气管镜诊疗;试验组在喉罩通气全麻下行支气管镜诊疗。比较两组心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO2)、苏醒时间及不良反应发生率。结果:试验组麻醉后HR与SpO2水平、苏醒时间、不良反应发生率均优于对照组,差异有统计学意义(P<0.05)。结论:喉罩通气全麻下支气管镜诊疗效果更好,患者苏醒时间更短,不良反应更少。
Objective:To explore the application and effect of bronchoscopy diagnosis and treatment under laryngeal mask ventilation general anesthesia.Methods:From January 2018 to January 2019,72 patients undergoing fiberoptic bronchoscopy under general anesthesia were selected and randomly divided into two groups with 36 cases in each group.In the control group,bronchoscopy diagnosis and treatment was performed under general anesthesia without intubation.In the experimental group,bronchoscopy diagnosis and treatment was performed under general anesthesia with laryngeal mask ventilation.We compared the heart rate(HR),mean arterial pressure(MAP),blood oxygen saturation(SpO2),wake-up time and the incidence of adverse reactions between the two groups.Results:In the experimental group,HR and SpO2 levels after anaesthesia,wake-up time,adverse reactions were better than those in the control group,the difference was statistically significant(P<0.05).Conclusion:The effect of bronchoscopy diagnosis and treatment under laryngeal mask ventilation general anesthesia is better,the recovery time of patients is shorter,and the adverse reactions are less.
作者
何会
李荆萍
He Hui;Li Jingping(Department of Respiratory Medicine,the Central Hospital of Qianjiang City,Hubei Province,Hubei Qianjiang 433100)
出处
《中国社区医师》
2020年第14期22-22,24,共2页
Chinese Community Doctors
关键词
喉罩通气
全麻
支气管镜
Laryngeal mask ventilation
General anesthesia
Bronchoscope