Application analysis of Midazolam combined with Sufentanil anesthesia in elderly patients undergoing comfortable electronic bronchoscopy
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.
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