摘要
目的对比自主呼吸静脉麻醉与常规双腔气管插管静脉吸入复合麻醉胸腔镜治疗纵隔肿瘤的临床疗效、安全性及可靠性。方法回顾性分析西南医科大学附属医院43例纵隔良性肿瘤患者资料,其中18例采用自主呼吸麻醉下胸腔镜切除纵隔肿瘤,25例采用常规双腔气管插管静脉吸入复合麻醉下胸腔镜切除纵隔肿瘤。比较两组患者麻醉插管时间、手术时间、手术出血量、术后4及24h肌力、术后24h疼痛评分、拔管时间、住院时间。结果自主呼吸静脉麻醉组患者插管时间较双腔气管插管静脉吸入复合麻醉组更短,术后4h肌力增加更明显,差异有统计学意义(P<0.05)。而两组患者在手术时间、手术出血量、术后24h疼痛评分、术后24h肌力、拔管时间、住院时间比较,差异均无统计学意义(P>0.05)。结论自主呼吸静脉麻醉胸腔镜治疗纵隔肿瘤,麻醉插管时间更短,术后复苏更快。
Objective Comparing the clinical effects,safety and reliability of spontaneous breathing intravenous anesthesia and conventional double lumen endotracheal intubation intravenous inhalation in thoracoscope treatment.Methods The data of 43 patients with mediastinal benign tumor in our hospital were retrospectively analyzed.18 patients with laparoscopic mediastinal tumor was removed by autonomic breathing anaesthesia and 25 patients were treated with a conventional dual-cavity endotracheal intubation.The anesthesia intubation time and operation time,surgical bleeding volume,muscle strength at 4 and 24 hours after surgery,24-hour postoperative pain score,tube extraction time and hospitalization time were compared.Results The intubation time of patients with spontaneous breathing intravenous anesthesia was shorter than that of the two lumen endotracheal intubation combined anesthesia group,and the muscle strength increased more significantly.The difference was statistically significant(P<0.05).In the two groups,there was no statistically significant difference on surgical time,surgical bleeding volume,24-hour pain score,24-hour muscle strength,tube extraction time,and hospitalization time.Conclusion The spontaneous breathing intravenous anesthesia has a short intubation time,and rapid postoperative recovery in thoracoscope treatment for mediastinal tumor.
作者
何开明
戴天阳
唐小军
曾培元
蒲江涛
王炜
HE Kaiming;DAI Tianyang;TANG Xiaojun;ZENG Peiyuan;PU Jiangtao;WANG Wei(Department of Cardiothoracic Surgery,the Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China;Department of Cardiothoracic Surgery,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 500080,China)
出处
《重庆医学》
CAS
2019年第2期275-277,共3页
Chongqing medicine
基金
广东省胸部疾病协会联合项目(KY2007001)
关键词
自主呼吸静脉麻醉
胸腔镜
纵隔肿瘤
spontaneous intravenous anesthesia
thoracoscope
mediastinal neoplasms
