纤维支气管镜(下称纤支镜)检查的麻醉方法较多,但经鼻腔直接滴药麻醉的报道很少。以往我院均采用传统的经口腔喷雾麻醉,在检查中我们观察此法效果不甚理想,病人所受痛苦较大,大部分患者难以接受复检,我院自1993年8月至94年8月共检查200例患者,用喷雾(对照组)和滴鼻(观察组)法分组进行比较,发现滴鼻法效果较优,现报告如下。 1 临床资料 1.1 观察对象 采用随机双盲法,分为观察组和对照组,每组各100例,其中两组的平均年龄性别,病种大致相近。 1.2 方法 (1)对照组:术前30分钟口服鲁米那60mg,肌注阿托品0.5mg,常规2％利多卡因经口腔喷 Fiberoptic bronchoscopy (hereinafter referred to as bronchoscopy) examination of anesthesia, but there are few reports of direct anesthesia through the nasal drops. In the past, our hospital were using traditional oral anesthesia, in the inspection we observed the effect of this method is not ideal, the patient suffered greater pain, most patients difficult to accept re-examination, our hospital from August 1993 to 1994 8 A total of 200 patients were examined in a month, with the spray (control group) and intranasal (observation group) group were compared and found that intranasal method is better, are as follows. 1 Clinical data 1.1 The observation object using a randomized double-blind method, divided into observation group and control group, 100 cases in each group, of which the average age of both groups, the types of diseases are generally similar. 1.2 Methods (1) control group: 30 minutes preoperative oral luminal 60mg, intramuscular injection of atropine 0.5mg, conventional 2% lidocaine via oral spray