摘要
目的 探讨膈肌超声评价不同性别全身麻醉手术患者气管拔管时右侧膈肌厚度的变化率。方法 选取2020年10月—2021年4月中山市人民医院收治的96例进行全身麻醉手术患者,按照性别将其分为男性组(n=50)和女性组(n=46)。两组患者均进行膈肌超声检查,比较两组患者术前、拔管时、拔管后30 min右侧膈肌厚度变化率;比较两组患者气管拔管时间、持续抬头5 s时间以及拔管时Ramsay镇静评分;观察两组患者拔管情况。结果 与术前比较,拔管时两组患者膈肌厚度变化率均降低,且男性组(38.52±6.21)%低于女性组(42.23±7.66)%,差异有统计学意义(t=2.616,P<0.05);拔管后30 min两组患者膈肌厚度变化率[(58.34±9.36)%、(58.01±8.79)%]与拔管时相比均升高,差异有统计学意义(t=12.316、9.396,P<0.05),但两组拔管后30 min膈肌厚度变化率比较,差异无统计学意义(P>0.05)。两组拔管时间、持续抬头5 s时间以及拔管时Ramsay镇静评分差异无统计学意义(P>0.05)。两组患者均未出现拔管失败的情况,且两组患者呼吸频率[(19.56±4.12)次/min vs (20.23±4.23)次/min]、潮气量[(360.56±97.52)mL vs (352.56±88.56)mL]、氧合指数[(341.12±48.23)mmHg vs (321.23±50.12)mmHg]比较,差异无统计学意义(P>0.05)。结论 膈肌超声对判断不同性别全身麻醉手术患者右侧膈肌厚度变化率具有可行性,对于判断气管拔管时机有一定的临床应用价值。
Objective To evaluate the change rate of right diaphragm thickness in patients with tracheal extubation under general anesthesia of different gender by diaphragmatic ultrasonography.Methods 96 patients undergoing general anesthesia in Zhongshan People´s Hospital from October 2020 to April 2021 were selected and divided into male group(n=50)and female group(n=46)according to gender.Diaphragmatic ultrasonography were performed in two groups,and the change rate of right diaphragm thickness before surgery,at extubation and 30 min after extubation were compared between the two groups.The duration of tracheal extubation,the duration of continuous head lifting for 5 s and Ramsay sedation score during extubation were compared between the two groups.The extubation conditions of the two groups were observed.Results Compared with the preoperative procedure,lower rate of diaphragm thickness in two groups during extubation,and the male group(38.52±6.21)%was lower than the female group(42.23±7.66)%,the difference was statistically significant(t=2.616,P<0.05);the rate of diaphragm thickness at 30 min after extubation[(58.34±9.36)%,(58.01±8.79)%]were increased in two groups compared with the time of extubation, the difference was statistically significant (t=12.316, 9.396, P<0.05), however, the rate of change of diaphragm thickness at 30 min afterextubation between the two groups, the difference was not statistically significant (P>0.05). There was no statistically significant difference inextubation time, 5 s time and Ramsay sedation score between the two groups (P>0.05). No failed extubation was observed in two groups, andcompared the respiratory rate [(19.56±4.12) times/min vs (20.23±4.23) times/min], tidal volume [(360.56±97.52) mL vs (352.56.56±88.56)mL], oxygenation index [(341.12±48.23) mmHg vs (321.23±50.12) mmHg] between the two groups of patients, the difference was not statisticallysignificant (P>0.05). Conclusion Diaphragmatic ultrasonography is feasible for judging the thickness change rate of right diaph
作者
周引凤
陈勇
程周
ZHOU Yinfeng;CHEN Yong;CHENG Zhou(Department One of Anesthesia,Zhongshan People´s Hospital,Zhongshan,Guangdong Province,528403 China)
出处
《世界复合医学》
2022年第12期4-8,共5页
World Journal of Complex Medicine
关键词
全身麻醉
超声
膈肌厚度
变化率
General anesthesia
Ultrasonography
Diaphragm thickness
Rate of change
