Study of the Effect of Esketamine in Patients with Painless Fiberoptic Bronchoscopy and Its Effect on Body Dynamic Reaction
Objective To explore the application effect of esketamine in painless bronchoscopy patients and its impact on body movement response.Methods 98 patients who underwent painless bronchoscopy examination at Jiujiang Third People's Hospital from January to November 2023 were randomly divided into a control group(n=49)and a study group(n=49)using a random number table method.The control group was anesthetized with sufentanil and propofol,while the study group was anesthetized with esketamine and propofol.Heart rate(HR),blood oxygen saturation(SpO2),mean arterial pressure(MAP),adverse reactions,body motor response,recovery time and orientation recovery time were compared between the two groups at different time points.Results There were no statistical significances in HR,MAP and SpO2 between the two groups before anesthesia(T0)(P>0.05).Compared with T0,HR,SpO2 and MAP in the control group were significantly decreased after anesthesia(T1),and the indexes in the study group were higher than those in the control group,with statistical significance(P<0.05).When the tracheoscope was inserted into the glottis(T2),HR,SpO2 and MAP in the control group were higher than T1,and the test values of each index in the study group at T2 were lower than those in the control group(P<0.05).The recovery time of orientation in the study group was shorter than that in the control group,and the incidence of cough,hypotension,body motor reaction and respiratory depression were lower than those in the control group,the difference were statistically significant(P<0.05);while the recovery time between the two groups was not statistically significant(P>0.05).Conclusion Esketamine can maintain hemodynamic stability during painless bronchoscopy,reduce adverse reactions such as hypotension and body movement,and promote patient recovery.
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