Observation of choking reaction and other related indexes in elderly painless fiberoptic bronchoscopy with transnasal high-flow humidification oxygen therapy.

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Open Medicine Pub Date : 2024-11-21 eCollection Date: 2024-01-01 DOI:10.1515/med-2024-1064

Yankun Feng, Zhijun Chen, Jiafang Wang

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Abstract

Objective: The aim of this study was to observe the effect of nasal high-flow humidification oxygen therapy on choking reactions and related respiratory and hemodynamic effects in elderly patients undergoing fiberoptic bronchoscopy.

Methods: A total of 126 elderly patients aged 65-80 years who underwent painless fiberoptic bronchoscopy from March 2021 to December 2021 were randomly divided into two groups.

Results: The pulse oxygen saturation at T1 and T2 time points in the experimental group was higher than that in the control group (P < 0.05), and the average arterial pressure was slightly lower than that in the control group, but there was no statistical significance. In the experimental group, the total dosage of propofol and sufentanil increased, the microscopic examination time shortened, the choking reaction decreased significantly(P < 0.05), and the total incidence of hypoxemia decreased (P < 0.05).

Conclusion: The application of nasal high-flow humidification oxygen therapy in elderly painless fiberoptic bronchoscopy improves the oxygenation ability of patients increases the use of narcotic drugs, does not have a great impact on hemodynamics, reduces choking reaction, and is more conducive to the operation of endoscopy doctors.

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老年无痛纤维支气管镜检查中经鼻高流量加湿氧疗的窒息反应及其他相关指标观察。

目的本研究旨在观察鼻腔高流量加湿氧疗对接受纤维支气管镜检查的老年患者呛咳反应及相关呼吸和血流动力学效应的影响：方法：将2021年3月至2021年12月期间接受无痛纤维支气管镜检查的126例65-80岁老年患者随机分为两组：实验组T1、T2时点脉搏氧饱和度高于对照组（P<0.05），平均动脉压略低于对照组，但无统计学意义。实验组异丙酚和舒芬太尼总用量增加，显微镜检查时间缩短，窒息反应明显减少（P＜0.05），低氧血症总发生率降低（P＜0.05）：鼻腔高流量加湿氧疗在老年无痛纤维支气管镜检查中的应用提高了患者的吸氧能力增加了麻醉药物的使用，对血流动力学影响不大，减少了呛咳反应，更有利于内镜医生的操作。

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来源期刊

Open Medicine Medicine-General Medicine

CiteScore

3.00

自引率

0.00%

发文量

153

审稿时长

20 weeks

期刊介绍： Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.