i-gel喉罩联合T型密封管控制通气在无痛支气管镜检查中的应用

发布时间：2018-04-11 08:40

本文选题：支气管镜检查 + 无囊喉罩　；参考：《实用医学杂志》2015年15期

【摘要】：目的:观察i-gel喉罩控制通气在无痛支气管镜检查中的应用效果。方法:选取拟行纤维支气管镜检查的患者80例,随机分为控制通气组(A组,n=40)和表面麻醉组(B组,n=40)。前者应用芬太尼、瑞芬太尼、丙泊酚、琥珀胆碱麻醉,i-gel无囊喉罩联合T型密封接头实施控制通气,后者应用利多卡因表面麻醉,自主呼吸,鼻导管给氧。记录两组患者在支气管镜检查中生命体征变化,镜检期间体动、咳嗽、喉痉挛等内镜相关不良反应和术后呛咳、声嘶等麻醉相关不良反应,镜检时间,患者满意度。结果:与表现麻醉组相比,控制通气组生命体征波动小(P0.05),不良反应少(P0.05),患者满意度高(P0.05)。结论:i-gel喉罩控制通气在无痛支气管镜检查安全,有效控制气道,解决呼吸抑制问题,是内镜检查中一项可行的方法。
[Abstract]:Objective: to observe the effect of i-gel laryngeal mask controlled ventilation in painless bronchoscopy.Methods: 80 patients were randomly divided into control ventilation group (group A) and surface anesthesia group (group B).The former was treated with fentanyl, remifentanil, propofol, succinylcholine anaesthesia with i-gel without larynx mask and T type sealed joint for controlled ventilation, while the latter was treated with lidocaine surface anesthesia, spontaneous respiration and nasal oxygen supply.The changes of vital signs during bronchoscopy, body movement, cough, laryngeal spasm, anaesthesis-related adverse reactions, such as cough, hoarseness and other anaesthesis-related adverse reactions were recorded in the two groups.Results: compared with the anaesthesia group, the vital signs of the control ventilation group were less volatile than those of the control group, and the adverse reactions were less than that of the control group. The patients' satisfaction was higher than that of the control group (P 0.05).Conclusion it is a feasible method in endoscopy to control the airway effectively and solve the problem of respiratory inhibition by using the control ventilation with the control of the laryngeal mask in the painless bronchoscopy.
【作者单位】：六安市立医院呼吸内科;
【分类号】：R614

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