卢怡君 曹殿青

    【摘要】 随着现代医学的发展，民众健康意识水平提高，国家对疾病筛查和舒适化医疗的大力推广，选择纤维支气管镜检查的患者日益增多。纤支镜检查是一项侵入性操作，同时镜体占用气道，检查中容易引起低氧血症、循环波动、心律失常等并发症，指南建议为患者提供镇静剂以提高患者舒适度并减少并发症。常用的麻醉药物有镇静药，镇痛药，抗胆碱类药物等，不同药物间可配伍使用。如何优化麻醉方案，达到既能减轻患者检查中的不适感又能维护生命体征平稳，这困扰着广大麻醉工作者，本综述旨在评估用于无痛纤支镜的全麻药物，为临床工作提供指导。

    【关键词】 纤维支气管镜检查 麻醉用药 镇静 镇痛

    [Abstract] With the development of modern medicine and the improvement of public health awareness， the country vigorously promotes disease screening and comfortable medical treatment， and more and more patients choose fiberoptic bronchoscopy. Fiberoptic bronchoscopy is an invasive procedure， and the endoscopic body occupies the airway， which is likely to cause complications such as hypoxemia， circulation fluctuation， and arrhythmia during the examination. The guidelines recommend that patients be given sedatives to improve patient comfort and reduce complications. Commonly used anesthesia drugs include sedatives， analgesics， anticholinergics and so on. Different drugs can be used in combination. How to optimize the anesthesia program to not only reduce the discomfort of patients during the examination but also maintain the stability of vital signs has puzzled the majority of anesthesiologists. This review aims to evaluate the general anesthesia drugs used in painless fiberoptic bronchoscopy and provide guidance for clinical work. ......