两种无痛纤维支气管镜检查方法的麻醉效果对比分析

目的比较丙泊酚复合芬太尼和丙泊酚复合雷米芬太尼两种无痛纤支镜检查方法的麻醉效果。方法选取择期需行无痛纤支镜检查的患者40例，随机分为两组，每组各20例，芬太尼组（F组）以丙泊酚1．5mg／kg复合芬太尼0．5μg／kg、雷米芬太尼组（R组）以丙泊酚1mg／kg复合雷米芬太尼0．3μg/kg静脉注入。结果两组患者纤支镜检查均顺利完成，R组丙泊酚用量少，且苏醒时间较F组短（P〈0．05）。结论丙泊酚复合芬太尼或丙泊酚复合雷米芬太尼均能满足患者无痛要求，在临床实践中是可行的、安全的，但效果以前者更佳。

Clinical analysis on two anesthetic methods in painless fiberoptic bronchoscopy

Objective To compare the anesthetic effect between propofol-fentanyl and propofol-remifentanil in painless fiberoptic bronchoscopy. Methods Forty patients undergoing elective painless fiberoptic bronchoscopy were randomly divided into 2 groups ： Fentanyl group （ group F） received intravenous injection of propofol 1.5 mg/kg and fentanyl 0. 5 μg/kg; RemifentaniI group （ group R） received intravenous injection of propofol 1.0 mg/kg and remifentanil 0. 3 μg/kg. Results In two groups of patients were successfully completed the check. The dosage of propofol was lower used and waken time was shorter in group R compared with group F （ P 〈 0. 05 ）. Conclusion Propofol combined with fentanyl or propofol combined with remifentanil both can satisfy the painless requirements, the two methods are feasible and safe in clinical practice ,but the effect of the former is more better.