探讨喉罩气道全麻在无痛支气管镜检查中的应用价值及其对患者舒适度和满意度的影响

IF 1 4区 医学 Q3 EMERGENCY MEDICINE
Signa Vitae Pub Date : 2023-01-01 DOI:10.22514/sv.2023.103
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引用次数: 0

摘要

本研究探讨喉罩气道全麻在无痛支气管镜检查中的适用性及其对患者舒适度和满意度的影响。采用随机数字表法,将101例行支气管镜检查的老年呼吸系统疾病患者分为两组,一组采用静脉全麻(IVGA),另一组采用喉罩气道全麻(LMAGA)。比较两组患者心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO2)等生命体征,观察两组患者围手术期不良反应及舒适度、满意度。麻醉前(T0)两组患者HR、MAP、SpO2等生命体征差异无统计学意义。然而,在T1和T2时,LMAGA组患者的HR明显低于IVGA组。此外,LMAGA组的MAP和SpO2水平显著高于IVGA组。与IVGA组相比,LMAGA组手术时间明显缩短,麻醉恢复速度明显加快。此外,与IVGA组相比,LMAGA组的不良反应发生率显著降低,舒适度和满意度显著提高。LMAGA在无痛支气管镜检查中具有显著的麻醉效果,有效改善患者生命体征,缩短手术时间和麻醉恢复时间,降低围手术期不良反应的发生,提高整体舒适感和满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
he application value of laryngeal mask airway general anesthesia in painless bronchoscopy and its influence on the sense of comfort and satisfaction
This study explores the applicability of general anesthesia with a laryngeal mask airway in painless bronchoscopy and its impact on the sense of comfort and satisfaction. Using the random number table method, we divided 101 elderly patients with respiratory disease who underwent bronchoscopy into two groups, with one group receiving intravenous general anesthesia (IVGA) and the other group receiving laryngeal mask airway general anesthesia (LMAGA). Their vital signs, including heart rate (HR), mean arterial pressure (MAP) and oxygen saturation (SpO2), were compared and we also examined their perioperative adverse effects and assessed the sense of comfort and satisfaction. There were no significant differences in vital signs, including HR, MAP and SpO2, between the two groups before anesthesia (T0). However, at T1 and T2, the HR of patients in the LMAGA group was significantly lower than that of the IVGA group. Additionally, the MAP and SpO2 levels in the LMAGA group were significantly higher than those in the IVGA group. The LMAGA group also demonstrated significantly shorter surgical duration and faster recovery from anesthesia than the IVGA group. Furthermore, the LMAGA group exhibited a significantly lower incidence of adverse effects and a notable increase in comfort and satisfaction compared to the IVGA group. LMAGA demonstrates a significant anesthetic effect in painless bronchoscopy, effectively improving the patient’s vital signs, reducing the duration of the operation and anesthetic recovery time, lowering the occurrence of perioperative adverse reactions, and enhancing the overall sense of comfort and satisfaction.
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来源期刊
Signa Vitae
Signa Vitae 医学-急救医学
CiteScore
1.30
自引率
9.10%
发文量
0
审稿时长
3 months
期刊介绍: Signa Vitae is a completely open-access,peer-reviewed journal dedicate to deliver the leading edge research in anaesthesia, intensive care and emergency medicine to publics. The journal’s intention is to be practice-oriented, so we focus on the clinical practice and fundamental understanding of adult, pediatric and neonatal intensive care, as well as anesthesia and emergency medicine. Although Signa Vitae is primarily a clinical journal, we welcome submissions of basic science papers if the authors can demonstrate their clinical relevance. The Signa Vitae journal encourages scientists and academicians all around the world to share their original writings in the form of original research, review, mini-review, systematic review, short communication, case report, letter to the editor, commentary, rapid report, news and views, as well as meeting report. Full texts of all published articles, can be downloaded for free from our web site.
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