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目的 纤维支气管镜检查术前均常规应用阿托品 0 .5mg、鲁米那 0 .1或安定 5～ 10mg。术前不用药物局麻行纤维支气管镜检查与术前用药相比较其不良反应、合并症的发生。方法 对 2 0 0 0例纤维支气管镜检查病人随机分为二组。一组为检查前应用阿托品 0 .5mg、鲁米那 0 .1或安定 10mg ,一组为检查前不用任何药物。二组病人均应用利多卡因 0 .2超声雾化吸入麻醉 ,观察血压、脉搏、心电图、血氧饱和度、口腔及呼吸道分泌物及消化道反应程度。结果 用药组脉搏平均上升 2 0次 /min ,未用药组脉搏平均上升 8次 /min。消化道反应相同 ,口腔及呼吸道分泌物粘稠不易吸出 ,用药组为 33.2 % ,未用药组 10 .5 %。术中心电图监测用药组心率增快ST -T改变占 5 .5 % ,未用药组未发生ST -T波的明显改变。结论 纤维支气管镜检查不用术前药是安全的 ,减少了由于用药引起的药物不良反应
Purpose fibrobronchoscopy preoperative routine application of atropine 0 .5mg, luminal 0 .1 or stability 5 ~ 10mg. Preoperative drug-free local anesthesia fiberoptic bronchoscopy and preoperative medication compared to the adverse reactions, complications occurred. Methods 200 cases of bronchoscopy patients were randomly divided into two groups. A group of pre-test application of atropine 0 .5mg, luminal 0.1 or stable 10mg, a group without any medication before the test. Two groups of patients were given lidocaine 0.2 anesthesia by inhalation of anesthesia, blood pressure, pulse, ECG, blood oxygen saturation, oral and respiratory secretions and gastrointestinal reactions were observed. Results The average pulse rate of the medication group increased 20 times / min and that of the untreated group increased 8 times / min on average. The same gastrointestinal reactions, oral and respiratory secretions viscous hard to suck out, the medication group was 33.2%, 10.5% of the untreated group. Intraoperative electrocardiogram monitoring treatment group increased heart rate ST-T changes accounted for 5.5%, no treatment group did not occur ST-T wave significantly changed. Conclusion Fiberoptic bronchoscopy without preoperative medication is safe, reducing the adverse drug reactions caused by medication