摘要
目的探讨单腔气管插管全身麻醉用于胸腔镜下肺大疱手术患者的临床效果,分析总结其临床应用价值。方法选取2017年3月至2019年3月本院接诊的100例胸腔镜下肺大疱手术患者为研究对象,按照简单随机分组法分为对照组和研究组,各50例。对照组患者予以双腔气管插管全身麻醉,研究组患者予以单腔气管插管全身麻醉。比较两组患者插管所用时间、麻醉费用、不同时间段[全身麻醉前(T0)、插管时(T1)、插管5 min(T2)、拔管时(T3)]舒张压(DBP)、心率(HR)指标水平以及插管后并发症发生情况。结果T1、T2、T3时间段,两组患者DBP、HR指标与组内T0相比均有明显升高,差异有统计学意义(P<0.05);T1、T2、T3时间段,两组患者DBP、HR指标比较,差异无统计学意义;研究组患者插管平均用时和麻醉平均费用[(20.62±3.67)s、(1019.73±100.91)元]均明显低于对照组[(30.94±2.75)s、(1662.11±115.87)元],差异有统计学意义(P<0.05);研究组患者插管后并发症发生率(4.00%)明显低于对照组(16.00%),差异有统计学意义(P<0.05)。结论单腔气管插管全身麻醉用于胸腔镜下肺大疱手术患者中的效果满意,可有效缩短插管时间,减少麻醉费用,维持稳定的舒张压、心率及良好的通气,同时,有效降低并发症发生率,值得临床推广应用。
Objective To investigate the clinical effect of general anesthesia with single-lumen endotracheal intubation for patients underwent thoracoscopic bullous surgery,and to analyze its clinical application value.Methods 100 patients with thoracoscopic bullae surgery who were admitted to our hospital from March 2017 to March 2019 were selected as study subjects.All patients were divided into control group and study group according to simple randomization method,with 50 cases in each group.Patients in the control group underwent general anesthesia with double-lumen endotracheal intubation,patients in the study group underwent general anesthesia with single-lumen endotracheal intubation.The time spent in intubation,anesthesia cost,and different time periods[before general anesthesia(T0),intubation(T1),intubation 5 min(T2),extubation(T3)]diastolic blood pressure(DBP),heart rate(HR)index level and complications after intubation were compared between two groups.Results During the T1,T2,and T3 time periods,the DBP and HR indexes of the two groups were significantly higher than those of the T0,and the difference was statistically significant(P<0.05).During the T1,T2,and T3 time periods,there was no significant difference in DBP and HR indexes between the two groups.The average time of intubation and the average cost of anesthesia in the study group[(20.62±3.67)s,(1019.73±100.91)yuan]were significantly lower than the control group[(30.94±2.75)s,(1662.11±115.87)yuan],and the difference was statistically significant(P<0.05).The incidence of complications after intubation in the study group(4.00%)was significantly lower than that of the control group(16.00%),and the difference was statistically significant(P<0.05).Conclusion Single-lumen endotracheal intubation for generally satisfactory for patients undergoing thoracoscopic bullous surgery,effectively reducing the time spent on intubation,reducing anesthesia costs,maintaining stable diastolic blood pressure,heart rate and good ventilation at the same time,it can effectively
作者
秦智刚
李锟
Qin Zhigang;Li Kun(Department of Anesthesiology,Peking University Medical Zhuzhou Kaide Hospital,Zhuzhou,Hunan,412000,China;Department of General Surgery,Central South Hospital ofWuhan University,Wuhan,Hubei,430000,China)
出处
《当代医学》
2020年第18期1-3,共3页
Contemporary Medicine
基金
国家自然科学基金(81402508)。
关键词
胸腔镜
肺大疱
单腔气管插管
双腔气管插管
全身麻醉
Thoracoscopic surgery
Pulmonary bullae
Single lumen endotracheal intubation
Double lumen tracheal intubation
General anesthesia
