咪达唑仑复合舒芬太尼麻醉在老年患者行舒适电子支气管镜检查中的应用
Application analysis of Midazolam combined with Sufentanil anesthesia in elderly patients undergoing comfortable electronic bronchoscopy
唐涌通 1卢建平 1钟华 1徐积兰 1阳名华 1章俊1
作者信息
- 1. 上犹县人民医院呼吸与危重症医学科,江西 赣州 341200
- 折叠
摘要
目的:分析咪达唑仑复合舒芬太尼麻醉在老年患者行舒适电子支气管镜检查中的应用.方法:回顾性分析 2022 年 1 月至 2023 年 11 月于该院行电子支气管镜检查的 200 例老年患者的临床资料,按照麻醉方法不同将其分为对照组和观察组各 100 例.对照组采用利多卡因局部麻醉,观察组采用咪达唑仑复合舒芬太尼麻醉.比较两组入镜前和检查时生命体征(心率、呼吸频率、血氧饱和度)、不同时间(麻醉后 2 min、检查时、检查后 5 min)镇静(RASS镇静评分量表)评分、不良反应发生率和电子支气管镜检查耐受度.结果:检查时,两组呼吸频率、血氧饱和度、心率水平均低于入镜前,但观察组高于对照组,差异有统计学意义(P<0.05);观察组麻醉后 2 min、检查时、检查后 5 min RASS镇静评分均低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05);观察组电子支气管镜检查耐受度为97.00%(97/100),高于对照组的88.00%(88/100),差异有统计学意义(P<0.05).结论:咪达唑仑复合舒芬太尼麻醉应用于老年患者行舒适电子支气管镜检查可稳定生命体征,降低镇静评分,提高电子支气管镜检查耐受度,效果优于利多卡因局部麻醉.
Abstract
Objective:To analyze application of Midazolam combined with Sufentanil anesthesia in elderly patients undergoing comfortable electronic bronchoscopy.Methods:The clinical data of 200 elderly patients who underwent electronic bronchoscopy in this hospital from January 2022 to November 2023 were retrospectively analyzed.According to different anesthesia methods,they were divided into control group and observation group,100 cases in each group.The control group was treated with Lidocaine local anesthesia,while the observation group was treated with Midazolam combined with Sufentanil anesthesia.The vital signs(heart rate,respiratory rate,oxygen saturation)before and during the examination,the sedation(RASS sedation score scale)scores at different times(2 min after anesthesia,during the examination,5 min after the examination),the incidence of adverse reactions,and the tolerance of electronic bronchoscopy were compared between the two groups.Results:During the examination,the levels of respiratory rate,blood oxygen saturation and heart rate of the two groups were lower than those before the endoscopy,but those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The RASS sedation scores of the observation group 2 min after anesthesia,during the examination and 5 min after examination were lower than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).The tolerance of electronic bronchoscopy in the observation group was 97.00%(97/100),which was higher than 88.00%(88/100)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Midazolam combined with Sufentanil anesthesia in the elderly patients undergoing comfortable electronic bronchoscopy can stabilize the levels of vital signs,reduce the sedation scores,and improve the tolerance of electronic bronchoscopy.Moreover,it is superior to Lidocaine local anesthesia.
关键词
咪达唑仑/舒芬太尼/麻醉/电子支气管镜检查/老年/镇静/耐受度/不良反应Key words
Midazolam/Sufentanil/Anesthesia/Electronic bronchoscopy/Elderly/Sedation/Tolerance/Adverse reaction引用本文复制引用
基金项目
江西省赣州市科技计划(GZ2023ZSF597)
出版年
2024
NETL
NSTL
万方数据