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在接受纤维支气管镜检查的患者中使用丁丙诺啡和地西泮作为阿托品辅助药物的可行性。

Desirability of using buprenorphine and diazepam as an adjunct to atropine in patients undergoing fibreoptic bronchoscopy.

作者信息

Aslam M, Beg M

机构信息

Department of General Surgery, Jawahar Lal Nehru Medical College, Aligarh Muslim University, U.P., India.

出版信息

J Pak Med Assoc. 1993 Jun;43(6):120-2.

PMID:8411615
Abstract

This study endeavours to evaluate the need for sedation in fibreoptic bronchoscopy and response of the patients when sedation is not used. One hundred and five patients divided into three groups of 35 patients each, received buprenorphine (0.3 mg), diazepam (10 mg) and normal saline (0.5 ml) respectively along with atropine (0.6 mg) in each case. The study emphasizes that sympathetic explanation of the details of the procedure to the patients, administration of careful topical anaesthesia and avoidance of sedation makes the procedure acceptable, safe, comfortable with less complications and the need for admitting the patients to the ward is by and large avoided.

摘要

本研究旨在评估纤维支气管镜检查中镇静的必要性以及不使用镇静剂时患者的反应。105例患者分为三组,每组35例,分别接受丁丙诺啡(0.3毫克)、地西泮(10毫克)和生理盐水(0.5毫升),每组均加用阿托品(0.6毫克)。该研究强调,向患者详细解释操作过程、仔细进行局部麻醉以及避免使用镇静剂,可使该操作易于接受、安全、舒适,并发症较少,并且基本上无需将患者收住病房。

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