摘要
目的观察全麻纤维支气管镜检查中经鼻咽通气道连接麻醉机供氧的临床效果。方法 40例全麻下行纤维支气管镜检查患者随机均分为两组:N组术中经鼻导管供氧,NP组经鼻咽通气道连接麻醉机供氧;两组氧流量均为3L/min。麻醉采用静脉注射芬太尼0.05-0.10mg,继以靶控浓度2.5-4.0μg/ml持续输注丙泊酚维持。麻醉后插入鼻咽通气管,保留自主呼吸。记录术中BP、HR、SpO2和呼吸抑制发生情况。结果与N组相比,NP组呼吸抑制和需要面罩辅助呼吸次数明显减少(P<0.05)。结论全麻纤维支气管镜检查中经鼻咽通气道连接麻醉机通气方法简便、供氧效果良好,有利于术者操作。
Objective To evaluate the clinical effect of oxygenation by modified nasopharyngeal airway connected to anesthesia machine on the patients undergoing painless fiberoptic bronchoscopy. Methods Forty patients undergoing painless fiberoptic branchoscopy were equally randomized into two groups of N（oxygenation by nose pipe） and NP（oxygenation by nasopharyngeal airway）. The patients were given intravenous infusion of fentanyl 0.05-0. 10 rag, which was followed by target- controlled infusion （TCI） of propofol 2.5-4.0 μg/ml. Spontaneous breathing was kept during operation. Blood pressure, heart rate, SpO2 and respiratory suppression and side-effects were recorded. Results Compared to group N,the frequency of apnea and need for face mask assistant were less in group NP（P〈0.05）. Conclusion Oxygenation by nasopharyngeal airway connected with anesthesia machine is safe and effective for the patients undergoing painless fiberoptic bronchoscopyo
出处
《江苏医药》
CAS
北大核心
2013年第1期74-75,共2页
Jiangsu Medical Journal
关键词
全身麻醉
鼻咽通气道
纤维支气管镜检查
General anesthesia
Nasopharyngeal airway
Fiberoptic bronchoscopy
