清醒镇静联合局部麻醉支气管镜检查在肺癌患者围术期的应用

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Abstract Objective To investigate the effect of conscious sedation with local anesthesia bronchoscopy on lung cancer patients during the perioperative period and to find a better method for bronchoscopy. Methods Form March 2015 to December 2017, 326 patients received bronchoscopy during the perioperative period of surgery. These patients were divided into two groups according to the type of anesthesia： the local anesthesia group (Group A, 154 cases), and the conscious sedation with local anesthesia group(Group B, 172 cases). Preoperative evaluation, intraoperative monitoring, postoperative survey, and follow-up were conducted to assess the patients′ satisfaction, the safety of the operation, and the effect on postoperative rehabilitation of the surgery. Results No statistically significant difference of two groups was found in blood oxygen saturation, dyspnea, chest pain etc (P > 0.05), while there was statistically significant differences in the examining time, heart rate changes, the number of attempt times before the bronchoscope to pass through the glottic, patients′ willingness for re-examination, and the bad memory etc of two groups (P < 0.01). Conclusion Conscious sedation combined with local anesthesia method can reduce the patients′ fear for bronchoscopy in lung cancer surgery, improve the patients′ satisfaction and tolerance, and significantly reduce the incidence of complications. Therefore it has great application value.

Key words： Conscious sedation Local anesthesia Bronchoscopy Lung cancer Perioperative period

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	LV Jing DIAO Mingqiang WEN Zhi LIN Yan ZHAO Changming XUE Yang HONG Lan

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LV Jing DIAO Mingqiang WEN Zhi LIN Yan ZHAO Changming XUE Yang HONG Lan. The application of conscious sedation combined with local anesthesia bronchoscopy on lung cancer patients during the perioperative period[J]. 中国医药导报, 2018, 15(11): 4-7,16.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I11/4

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