摘要
目的探讨无痛纤维支气管镜检查在老年患者中的安全性。方法对该科120例行纤维支气管镜检查术的老年患者的检查结果进行回顾性分析,比较老年患者行无痛纤维支气管镜检查(A组)和普通纤维支气管镜(B组)的安全性及镜下治疗的有效性。结果 A组患者术中心率(HR)、平均动脉压(MAP)、动脉血氧饱和度(SPO2)较术前均下降(P<0.05);B组患者术中HR、MAP较术前升高,SPO2较前下降,其差异均有显著性(P<0.05);B组患者术中SPO2下降较A组更为明显(P<0.05);B组患者体动明显增多(P<0.001)。结论无痛纤维支气管镜检查在老年患者中是相对安全的。
【Objective】To explore the safety of anodynia fiberoptic bronchoscopy examination in elder patients. 【Methods】120 old patients are separated into two teams： Lidocaine plus propofol anaesthesia team （A） and lidocaine surface anaesthesia team （B）. Patients’heart rate （HR）, mean arterial pressure （MAP）, oxygen saturation （SpO2）, forced expiratory volume in one second （FEV1） and maximal voluntary ventilation （MVV） were observed, their body movements during the operation were counted, and they were asked about the examination experience. 【Results】HR and MAP during operation decreased in A team （P 0.05）, on the contrary, in B team. SpO2 between team A and B decreased partly （P 0.05）. There were more body movements during examination in team B （P 0.001）. 【Conclusion】Application of painless fiberoptic bronchoscopy in elder patients is safe.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第10期1089-1091,共3页
China Journal of Endoscopy
关键词
纤维支气管镜检查术
老年
丙泊酚
flexible fiberoptic bronchoscopy
elder patients
propofol
