雾化吸入盐酸戊乙奎醚在老年人支气管镜诊疗中的临床应用

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1、·278·JournalofClinicalEmergencyCall，Oct2010，Vol11，No5雾化吸人盐酸戊乙奎醚在老年人支气管镜诊疗中的临床应用徐鹏周杰。张骅易军安[摘要]目的：观察老年人氧气雾化吸人盐酸戊乙奎醚在支气管镜诊疗中的I临床应用。方法：将114例接受支气管镜诊疗的老年患者，随机分为治疗组和对照组。对照组给予2利多卡因鼻咽部局部麻醉，治疗组在咽喉部局部麻醉基础上，行支气管镜诊疗前30min加用氧气雾化吸人盐酸戊乙奎醚。分别监测支气管镜检查前、支气管镜进人咽喉部瞬时、检查中、检查结束后即刻、检查结束后10rain

2、患者的血压、心率、血氧饱和度、气道分泌物等，评定镇静程度和焦虑程度，观察患者不适反应。结果：治疗组患者监测期间血压、心率、血氧饱和度等水平无明显改变，对照组监测过程中则有较明显改变(P

3、文献标志码]A[文章编号]10095918(2010)05～027803TheclinicalapplicationofinhalingpenehyclidinehydyOchl0rideinthebr0nch0fibersc0peexaminationofolderpatientsX【，PengZHOUJieZHANGHuayJJ“”“”(DepartmentofEmergencyMedicine，TheFirstPeople'sHospitalofXiangfanCity，Xiangfan，441000，China；。Depart

4、mentofEmergencyMedicine，TheRailwayCentralHospitalofXiangfanCity)AbstractObjective：Toevaluatetheefficiencyofinhalingpenehyclidinehydyochloride(PHC)intheexami～nationofolderpatientswithbronchofiberscope．Method：Atotalofl14casesofolderpatientsexaminedwithbronchofiberscopewer

5、erandomlydividedintotwogroups．ThetreatmentgroupreceivedinhalingPHCCON～binedwithlocalthroatanesthesiahalfanhourbeforetheexaminationofbronchofiberscope，whilethecontrolgroupreceivedlocalnasopharyngealanesthesiawith2Lidocaineonly．Bloodpressure，heartrate，oxygensatu～rationand

6、airwaysecretionswererecordedandanalyzedbeforethebronchofIberscopeexamination，atthemo～mentofbronchof

7、hersc。peenteringintothroat，duringthebronchof．berscopeexamination，atthemomentofthetermination，10minafterthetermination，respectively．Result：Therewerenoobviouschangesforthel

8、evelsofbloodpressure，heartrate，bloodoxygensaturation，etalforthetreatmentgroup．Butthesevariablesshowedobviouschangesinthecontrolgroup(P％0．05)．Conclusion：AsapremedicationbeforebronchofIberscopeex～aminationinolderpatients，PHCinhalingwasshowntOexertmildereffectsonbloodpress

9、ure，heartrate，eta1．Furthermore，ithadalsoastrongerinhibitoryeffectonglandularsecretioninrespiratorytract．PHCinh