ICU机械通气下支气管肺泡灌洗患者应用不同麻醉方式的效果研究

发布时间：2018-01-03 00:16

本文关键词：ICU机械通气下支气管肺泡灌洗患者应用不同麻醉方式的效果研究　出处：《临床医学研究与实践》2016年25期 　论文类型：期刊论文

【摘要】：目的探究ICU机械通气下支气管肺泡灌洗(BAL)患者应用不同麻醉方式的临床效果。方法选取我院2013年1月至2016年1月收治的ICU机械通气患者80例,随机分为两组,各40例。对照组采用利多卡因麻醉,观察组采用利多卡因联合异丙酚麻醉,对两组患者BAL过程中及BAL前后各项指标进行比较。结果观察组灌洗时间、灌洗量多于对照组,体动次数少于对照组(P0.05);术后两组SPO_2、PaO_2指标数据均有所下降,且观察组SPO_2、PaO_2值高于对照组,差异明显(P0.05),两组患者PaCO_2数据差异不明显(P0.05)。结论ICU机械通气下支气管肺泡灌洗患者应用利多卡因联合异丙酚麻醉的效果良好,值得在临床中应用。
[Abstract]:Objective to explore the ICU mechanical ventilation in bronchoalveolar lavage (BAL) patients with different anesthesia methods. The clinical effect of 80 patients with ICU mechanical ventilation methods in our hospital from January 2013 to January 2016 were patients, randomly divided into two groups, 40 cases in each group. The control group using lidocaine anesthesia, observation group used lidocaine combined with propofol anesthesia, compare the indicators of the two groups before and after the process of BAL and BAL. Results in the observation group, irrigation time, irrigation amount is more than the control group, the body movements of less than the control group (P0.05); after the operation of two groups of SPO_2, PaO_2 index were decreased, and the observation group SPO_2, PaO_2 value is higher than the control group, significant difference (P0.05). The differences between the two groups were not significant PaCO_2 data (P0.05). Conclusion ICU anesthesia and mechanical ventilation in bronchoalveolar lavage with lidocaine combined with propofol has good effect and is worthy of clinical application.

【作者单位】：西安市第九医院ICU;
【分类号】：R614
【正文快照】： 支气管肺泡灌洗(bronchoalveolar lavage,BAL)是通过在肺段或者亚段支气管水平嵌入纤支镜,用生理盐水反复灌洗以及回收,并对其回收液进行生化学、免疫学、细胞学和酶学等一系列检测分析的技术[1]。支气管肺泡灌洗是一项研究肺部疾病病因、诊断、发病机制、疗效评价以及预后判

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