利多卡因局部麻醉联合咪达唑仑镇静在气管镜检查患者中的应用效果

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Abstract Objective To investigate the application effect of local anesthesia with Lidocaine combined with Midazolam sedation in patients undergoing tracheoscopic examination.Methods A total of 60 patients undergoing bronchoscopy in the Fifth People′s Hospital of Ganzhou City from January 2017 to December 2018 were selected as study subjects,and were divided into the reference group and the study group according to the random throwing method,with 30 cases in each group.The reference group was administered with Lidocaine local anesthesia,and the study group was sedated with Midazolam and Fentanyl on the basis of the reference group.The examination related conditions,physiological indexes at each moment,the total incidence of adverse events and patient satisfaction were compared between the two groups.Results There was no significant difference in the time of full wakefulness between the two groups(P＞0.05).The operation time of the study group was shorter than that of the reference group,and the visual analogue scale(VAS)score was lower than that of the reference group,and the differences were statistically significant(P＜0.05).The mean arterial pressure(MAP),heart rate(HR)and respiratory rate(RR)at T1,T2 and T3 in control group were higher than T0,and the blood oxygen saturation(SpO2)level was lower than T0,and the differences were statistically significant(P＜0.05).In the study group,MAP and HR at moments T1,T2 and T3 were higher than those at moment T0,SpO2 level was lower than that at moment T0,and RR at moments T1 and T3 were higher than those at moment T0,and the differences were statistically significant(P＜0.05).The MAP,HR and RR at T1,T2 and T3 in the study group were lower than those in the control group,and the SpO2 level was higher than that in the control group,and the differences were statistically significant(P＜0.05).The incidence of adverse events in the study group(6.67%)was lower than that in the control group(26.67%),and the difference was statistically significant(P＜0.05).The total satisfaction of the study group(96.67%)was higher than that of the control group(80.00%),and the difference was statistically significant(P＜0.05).Conclusion Local anesthesia combined with Midazole sedation has a significant effect on patients undergoing tracheal examination.It can maintain the stability of patients′ signs and reduce the risk of related adverse events,with high safety.

Key words： Local anesthesia Midazolam Sedation Bronchoscopy Adverse events

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	XU Jun-lian
	QIU Su-ping

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XU Jun-lian,QIU Su-ping. Application effect of local anesthesia with Lidocaine combined with Midazolam sedation in patients undergoing tracheoscopic examination[J]. 中国当代医药, 2021, 28(17): 140-143.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I17/140

[1]	潘振雷.支气管扩张症状与纤维支气管镜治疗的关系[J].中国医学创新，2016，13（31）：35-38.
[2]	彭明珠，黄鸿波，郭伟峰.两种局麻联合小剂量静脉麻醉在支气管镜的应用[J].中国卫生标准管理，2020，11（12）：127-130.
[3]	张家庆，李龙，沈瑛，等.咪达唑仑联合利多卡因在支气管镜检查中的临床应用[J].中国医药指南，2019，17（26）：100-101.
[4]	童慧芬，粟连辉，李凌云，等.基于循证理论的临床护理路径在纤维支气管镜检查患者中的应用[J].护理实践与研究，2017，14（16）：28-30.
[5]	张鹏.咪达唑仑静脉麻醉与利多卡因局部麻醉联合在纤维支气管镜检查和治疗中的疗效对比评价[J].中西医结合心血管病电子杂志，2018，6（36）：47-48.
[6]	刘颖，谢美云，于素卿.运用Ramsay 镇静分级评价不同麻醉方法对支气管镜检查患者影响[J].转化医学杂志，2018，7（4）：228-230，239.
[7]	刘红艳，高磊，刘云峰，等.舒芬太尼联合咪达唑仑清醒镇静下支气管镜检查的临床应用[J].安徽医科大学学报，2018，53（9）：1476-1478.
[8]	舒成.舒芬太尼联合咪达唑仑静脉镇静镇痛在支气管镜检查中的效果[J].医疗装备，2018，31（14）：136-137.
[9]	刘楚永，蔡博.利多卡因联合咪达唑仑行纤维支气管镜检查的临床观察[J].北方药学，2018，15（5）：14-15.
[10]	覃勇民，韦庆，唐毓宜，等.咪达唑仑-芬太尼复合麻醉在电子支气管镜检查中的镇静作用[J].吉林医学，2018，39（4）：683-684.
[11]	钟琳，陈莉娜，陈婷，等.镇静躁动评分在儿童支气管镜术前镇静中的应用[J].中国内镜杂志，2018，24（2）：1-5.
[12]	李建东，郝淑玲，王斐，等.咪达唑仑联合芬太尼静脉复合麻醉在支气管镜检查中的安全性和舒适度[J].广西医学，2017，39（4）：484-486.
[13]	赵春玲.小剂量芬太尼、咪达唑仑在支气管镜检查中的应用[J].世界最新医学信息文摘，2019，19（12）：133，136.
[14]	崔清涛，吕叶珂，姚进超.无痛纤维支气管镜检查临床效果观察及研究[J].临床医药文献电子杂志，2019，6（92）：25，27.
[15]	张新军，陈济超.咪达唑仑联合舒芬太尼在经支气管镜肺活检中的安全性研究[J].中国医刊，2019，54（10）：1121-1124.
[16]	袁媛，张杰，岳红丽，等.无痛支气管镜检查麻醉方法的初步探讨[J].中华结核和呼吸杂志，2019，（2）：106-113.
[17]	李冬梅.咪达唑仑伍用三种阿片类药物用于成人无痛支气管镜的观察[D].长春：吉林大学，2018.
[18]	杨凤.小剂量咪达唑仑联合舒芬太尼静脉麻醉在气管镜检查中的应用[D].芜湖：皖南医学院，2018.
[19]	陈燕中，邬文伟，刘宇权，等.布托啡诺复合舒芬太尼对老年关节置换术患者自控镇痛的临床效果探究[J].中国医药科学，2019，9（23）：218-220.
[20]	许士娣，刘莉娜，蹇英.早期雾化吸入在儿童纤维气管镜术后的应用效果观察[J].齐鲁护理杂志，2018，24（1）：79-81.