摘要
目的:探讨用咪达唑仑+芬太尼行纤维支气管镜(纤支镜)无痛操作技术的可行性及安全性。方法:无痛纤支镜组(A组)58例和常规纤支镜组(B组)57例做对比研究。结果:A组100%完成操作,安全性好;B组3.5%因无法忍受痛苦而中断检查。与B组比较,A组麻醉效果好,医师操作到位情况好(均为P<0.01);纤支镜检查反应性症状少(P<0.001);镜检后问卷调查反映感觉不适情况少(P<0.01),愿意再做纤支镜检查者多(P<0.001)。结论:该技术值得临床推广应用。
OBJECTIVE： To explore the feasibility and safety of analgesia fiber bronchoscopy assisted by midazolam and fentanyl citrate. METHODS： A contrastive study was performed between analgesia bronchoscopy group （group A, n： 58） and conventional bronchoscopy group （group B, n：57）. RESULTS： 100% of patients in group A completed the examinations safely; 3.5% of patients in group B had to stop the check due to excessive pain. Group A was better than group B in the following aspects： better anaesthetic effects that made physicians perform better targeted examination（P〈0.01） ; less adverse reaction in bronchoscopy （P〈0.001） ; a smaller ratio of patients complaint of discomfort after checks （P〈0.01） ; a larger percentage of patients who were willing to be reexamined （P〈0.001）. CONCLUSION： The analgesia technology of fiber bronchoscopy is worthwhile to develop and adopt for clinical practices.
出处
《中国药房》
CAS
CSCD
北大核心
2010年第10期907-909,共3页
China Pharmacy
基金
包头市医药卫生基金资助科研项目(2008包卫鉴第44号)
