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| Effects of different body positions on painless bronchoscopy and influencing factors of operation time#br# |
| JIN Xiaohui1 HUANG Manfang1 HU Sunkuan2 LIN Xiaoxiao3 DONG Jiaojiao4 |
1.Digestive Endoscopy Center, the First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou 325006, China;
2.Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou 325006, China;
3.Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou 325006, China;
4.Department of Anesthesiology, the First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou 325006, China |
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Abstract Objective To explore the effects of different positions on painless bronchoscopy and the influencing factors of operation time. Methods Patients who underwent bronchoscopy from Digestive Endoscopy Center of the First Affiliated Hospital of Wenzhou Medical University from March to May 2019 were selected as the research subjects. According to the position of the patients during the operation, they were divided into the head back position group and the pillow-free supine position group, and the angle between the neck and the mandible of each patient was measured. The blood pressure, heart rate, blood oxygen saturation; the success rate of bronchoscopy into the glottis, and the operation time; the reaction of coughs and the injury of the nasopharyngeal mucosa were compared between the two groups. At the same time, multiple linear regression was used to analyze the influencing factors of the operation time of bronchoscopy into the glottis. Results In the end, a total of 200 patients were included in this study, including 103 patients in the head back position group and 97 patients in the supine position without the pillow. There was no significant difference in operation time between the two groups (P ＞ 0.05). The successful rate of entering the glottis in the head back position group was higher than that in the pillow-free position group, and the differences were highly statistically significant (P ＜ 0.01). There was no significant difference in the reaction of choking coughs and the injury rate of nasopharyngeal mucosa between the two groups (P ＞ 0.05). The results of regression analysis showed that the mandible and the angle between the neck was closely related to the operation time (P ＜ 0.05). Conclusion The success rate of bronchoscopy into the glottis is higher in the head back position group than in the supine position without the pillow. The angle between the neck and the mandible is an important factor affecting the operation time of painless bronchoscopy into the glottis.
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