利多卡因凝胶改良应用法在肺结核患者纤维支气管镜检查及治疗中的应用
Application of Modified Lidocaine Gel Method in Fiberoptic Bronchoscopy and Treatment for Pulmonary Tuberculosis Patients
DOI: 10.12677/acm.2026.161190, PDF,    科研立项经费支持
作者: 沈炎琴*, 姚丽伟, 于菁菁, 夏 萍：杭州市红十字会医院护理部，杭州 浙江；蔡青山：杭州市红十字会医院结核科，杭州 浙江；赵文胜：杭州市红十字会医院疼痛科，杭州 浙江；喻国灿：杭州市红十字会医院胸外科，杭州 浙江
关键词: 利多卡因凝胶；纤维支气管镜；肺结核；Lidocaine Gel； Fiberoptic Bronchoscopy； Pulmonary Tuberculosis
摘要: 目的：探讨利多卡因凝胶改良应用法在肺结核患者纤维支气管镜检查及治疗中的应用效果。方法：选取2023年11月至2024年6月期间肺结核且进行了局部麻醉纤维支气管镜检查或治疗的患者124例，使用随机数字表将患者平均分成对照组(62例)及观察组(62例)。对照组使用常规的局部麻醉方法，观察组使用利多卡因凝胶改良应用法进行局部麻醉。评价两组麻醉效果，术中血压、心率，血氧饱和度，操作成功率及不良反应发生率，纤维支气管操作后咽喉炎程度和患者满意度。结果：观察组麻醉效果优良率显著优于对照组。两组患者检查前及过声门后的峰值收缩压、峰值舒张压、峰值心率、谷值血氧饱和度变化值比较有统计学差异(P < 0.05)，对照组的变化值显著大于观察组。观察组操作成功率显著高于对照组。观察组不良反应率显著低于对照组(P < 0.05)。观察组咽喉无不适比例显著高于对照组。观察组满意率显著高于对照组。结论：利多卡因凝胶改良应用法在肺结核患者纤维支气管镜检查及治疗中的应用展现出了良好的有效性和短期安全性。
Abstract: Objective: To evaluate the efficacy of a modified lidocaine gel application method in fiberoptic bronchoscopy and treatment for pulmonary tuberculosis patients. Methods: A total of 124 patients with pulmonary tuberculosis undergoing locally anesthetized fiberoptic bronchoscopy or treatment between November 2023 and June 2024 were randomized into an observation group (n = 62) and a control group (n = 62). The control group received conventional local anesthesia, while the observation group received the modified lidocaine gel method. Outcomes assessed included anesthetic efficacy, intraoperative blood pressure, heart rate, oxygen saturation, procedural success rate, incidence of adverse reactions, post-procedure pharyngitis severity, and patient satisfaction. Results: The observation group demonstrated significantly superior anesthetic efficacy compared to the control group. Statistically significant differences (P < 0.05) were observed in the changes of peak systolic pressure, peak diastolic pressure, peak heart rate, and nadir oxygen saturation before examination and after passing the glottis, with greater variations in the control group. The observation group also had a significantly higher procedural success rate, lower incidence of adverse reactions (P < 0.05), a higher proportion of patients without throat discomfort, and greater satisfaction rates. Conclusion: The modified lidocaine gel application method is highly effective and safe for fiberoptic bronchoscopy and treatment in pulmonary tuberculosis patients.
文章引用：沈炎琴, 蔡青山, 姚丽伟, 于菁菁, 夏萍, 赵文胜, 喻国灿. 利多卡因凝胶改良应用法在肺结核患者纤维支气管镜检查及治疗中的应用[J]. 临床医学进展, 2026, 16(1): 1482-1490. https://doi.org/10.12677/acm.2026.161190

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