摘要
目的观察沐舒坦在老年患者胸科手术中应用对呼吸系统的影响。方法选择择期行胸科手术(肺大疱切除术、肺纤维板剥离术)的老年患者60例(年龄≥60岁,ASAII~III级),随机分为2组,沐舒坦组在手术开始时缓慢静滴沐舒坦针剂150mg。对照组在手术开始时静滴相同容量的0.9%氯化钠溶液。观察2组患者术中单肺通气时的麻醉呼吸机及监护仪参数(气道峰值压,气道平均压,血氧饱和度)及术中吸出痰液性质。结果与对照组相比,沐舒坦组的气道峰值压,气道平均压数值更低,血氧饱和度数值更高,吸出痰液更稀薄。结论在老年患者胸科手术中应用沐舒坦,可以改善呼吸道的通畅性,降低术中气道峰值压,气道平均压,从而对患者的呼吸系统起到一定的保护作用。
Objective To observe the influence of breath system of the old-age patients who use ambroxol within chest surgical operation.Methods 60 cases of old-age patients prepared to do chest surgical operation were randomly divided into two groups.(the age≥60years,ASAII~III class).The treatment group did intravenous infusion ambroxol(150mg) when the operation started,the control group did intravenous infusion 0.9%NaCl of the same capacity when the operation started.Observed the two groups parameters(air way peak pressure,air way average pressure,SPO2) of the anaesthetic machine and monitor during one lung ventilation in operation.Observed property of the sputum.Results Compare with the control group,the numbers of air way peak pressure and air way average pressure are lower in the treatment group.The number of SPO2 is higher in the treatment group.The sputum is thinner.Conclusion Using Ambroxol in old-age patients within Chest Surgical Operation,can make the air way more unblocked,lower the air way peak pressure and the air way average pressure,protect the breath system function of the patients.
出处
《当代医学》
2011年第3期137-138,共2页
Contemporary Medicine
关键词
沐舒坦
老年患者
胸科手术
Ambroxol
Old
Age patients
Chest surgical operation