摘要
目的探讨鼻咽通气管在老年患者ERCP非插管静脉全麻中的有效性及安全性.方法将2019年7月-2019年12月在非插管静脉全麻下行ERCP术的ASA分级Ⅰ-Ⅲ级的100例患者随机分为A组和B组,每组50例.A组为鼻咽通气管组,B组为鼻导管组.比较T0(麻醉前)、T1(麻醉诱导后)、T2(手术开始10min后)、T3(术毕15min)两组患者的脉搏血氧饱和度(SpO2)、心率(HR)、平均动脉压(MAP),以及因严重低氧血症而需要面罩正压通气的比例.结果两组在各时间点的MAP和HR比较,差异没有统计学意义(P>0.05);A组在T2时间点的SpO2高于B组,差异有统计学意义(P<0.05);B组因SpO2下降而需面罩正压通气的比例明显高于A组,差异有统计学意义(P<0.05).结论老年患者在ERCP非插管静脉全麻中使用鼻咽通气管给氧,安全有效.
Objective To investigate the efficacy and safety of nasopharynx ventilation in elderly patients undergoing non intubation general anesthesia with ERCP.Methods A total of 100 patients with ASA grade Ⅰ to Ⅲ who underwent ERCP non--intubated intravenous general anesthesia from July 2019 to December 2019 were randomly divided into group A and group B,with 50 patients in each group.Group A was treated with nasopharyngotracheal oxygen inhalation,and group B was treated with single port nasal catheter oxygen inhalation.The pulse oxygen saturation(SpO_(2)),heart rate(HR),mean arterial pressure(MAP)and the proportion of mask positive pressure ventilation due to severe hypoxemia were compared between T_(0)(before anesthesia),T_(1)(after anesthesia induction),T_(2)(10 minutes after the surgery beginning)and T_(3)(15 minutes after the surgery).Results There was no significant difference in MAP and HR between the two groups at each time point(P>0.05);SpO_(2) in group A was higher than that in group B at T_(2),and the difference was statistically significant(P<0.05);the proportion of positive pressure ventilation due to SpO_(2) decrease in group B was significantly higher than that in group A(P<0.05).Conclusion It is safe and effective for elderly patients to use nasopharynx ventilation tube in ERCP non intubation intravenous anesthesia.
作者
李露君
Li Lujun(The First People Hospital of Foshan,Guangdong Foshan,528000,China)
出处
《首都食品与医药》
2022年第13期37-39,共3页
Capital Food Medicine
关键词
鼻咽通气管
ERCP
非插管静脉全麻
Nasopharyngeal ventilation tube
ERCP
Non-intubated venous general anesthesia
