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目的比较带机与脱机纤维支气管镜(以下简称纤支镜)操作在ICU病房应用中的可操作性、安全性。方法收集2010年5月至2012年4月年收住胸外科、呼吸科骨科、神经内科、神经外科及ICU病房的上机患者50例。年龄35～91岁,平均年龄5612岁。以信封抽样,随机分组,采用普通脱机纤支镜和通过小孔软口三通管进行带机纤支镜操作,其中脱机纤支镜27例,共操作39次;带机纤支镜操作23例,操作50次。比较平均操作时间、低氧血症、被迫中止操作、呼吸心跳停止、成功次数等指标。结果普通脱机纤支镜操作时的低氧血症发生次数、被迫中止操作次数、呼吸心跳停止例数明显高于带机纤支镜操作,成功率及平均操作时间均明显低于带机纤支镜操作,统计学处理具有显著性差异。结论带机纤支镜操作具有更好的安全性、可操作性和有效性。
Objective To compare the maneuverability and safety of the operation of band and off-line fiberoptic bronchoscopy (hereinafter referred to as bronchoscopy) in ICU ward. Methods A total of 50 patients were enrolled in the Department of Thoracic Surgery, Respiratory Orthopedics, Neurology, Neurosurgery and ICU ward from May 2010 to April 2012. Age 35 ~ 91 years old, average age 5612 years old. The samples were taken by envelope and randomly grouped with ordinary offline fiberoptic bronchoscope and fiberoptic bronchoscope through small hole soft mouth tee, including 27 cases of offline bronchoscope with a total of 39 operations; 23 cases of operation, operation 50 times. Comparison of the average operating time, hypoxemia, forced to suspend operations, respiratory arrest, the number of successes and other indicators. Results The number of hypoxemia during operation of general offline fiberoptic bronchoscopy was forced to abort the number of operations, the number of cases of respiration and heartbeat stopped was significantly higher than that of patients with fiberoptic bronchoscopy, the success rate and average operation time were significantly lower than those with band Fiber bronchoscopy operation, statistical analysis with significant differences. Conclusion With fiberoptic bronchoscopy operation has better safety, operability and effectiveness.