非气管插管麻醉在肺大泡患者手术治疗中的效果

胸外科行胸腔镜下肺大泡切除术的 64 例患者随机分为两组袁对照组采用双腔气管插管全身麻醉袁观察组非气管
插管保留自主呼吸麻醉袁比较两组患者的手术及麻醉各指标尧术后恢复情况尧不良反应发生率尧术后炎性因子
水平遥 结果 观察组麻醉时间尧手术时间尧术中最低 SpO2尧术中最高 PETCO2尧术中出血量与对照组相比无明显差 异渊P跃0.05冤袁但观察组术后清醒时间明显短于对照组渊P约0.05冤曰观察组术后引流时间尧术后引流量尧术后下床活动
窑 临床研究 窑
中国现代医生 2019 年 6 月第 57 卷第 16 期
非气管插管麻醉在肺大泡患者手术治疗中的效果
姜承奇 黄若山 李建钢 陈 壁 侯 波银 云南省曲靖市第一人民医院胸外科袁云南曲靖 655000
[摘要] 目的 探讨非气管插管麻醉在肺大泡患者手术治疗中的效果遥 方法 将 2018 年 3 月~2019 年 2 月在我院
Leabharlann Baidu
时间尧术后住院时间明显少于对照组渊P约0.05冤曰观察组术后胃肠道不适尧声音嘶哑尧咽部不适等不良反应发生率明
显低于对照组渊P约0.05冤曰观察组术后 WBC尧IL-4尧IL-6尧IL-12 水平明显低于对照组渊P约0.05冤遥 结论 非气管插管
麻醉在肺大泡患者手术治疗中的效果显著袁术中对气道及肺的刺激少袁更接近生理状态袁有利于加快术后恢复速
JIANG Chengqi HUA NG Ruoshan LI Jian'gang CHEN Bi HOU Bo Department of Thoracic Surgery, Qujing First People's Hospital in Yunnan Province, Qujing 655000, China [Abstract] Objective To investigate the effect of non-tracheal intubation anesthesia in the surgical treatment of pa鄄 tients with pulmonary bullae. Methods A total of 64 patients undergoing thoracoscopic pulmonary bullous resection in the department of thoracic surgery in our hospital from March 2018 to February 2019 were randomly divided into two groups. The control group was given general anesthesia with double -lumen endotracheal intubation. The observation group was given anesthesia with non -tracheal intubation for retained spontaneous respiration. The indices of surgery and anesthesia, postoperative recovery, incidence of adverse reactions, and postoperative level of inflammatory factors were compared between the two groups. Results There were no statistically significant differences in anesthesia time, operation time, intraoperative minimum SpO2, intraoperative maximum PETCO2 and intraoperative blood loss between the observation group and the control group(P>0.05); however, the postoperative waking time in the observation group was significantly shorter than that in the control group(P<0.05); the postoperative drainage time, postoperative drainage amount, postoperative off-bed activity time, and postoperative length of hospital stay in the observation group were significantly less than those in the control group(P<0.05); the incidence rate of adverse reactions such as gastrointestinal discomfort, hoarseness and pharyngeal discomfort in the observation group was significantly lower than that in the control group(P< 0.05); the levels of WBC, IL-4, IL-6 and IL-12 in the observation group after surgery were significantly lower than those in the control group(P<0.05). Conclusion Non-tracheal intubation anesthesia is significantly effective in the sur gical treatment of patients with pulmonary bullae. This method has less intraoperative stimulation of the airway and lungs, and is closer to the physiological state, which is conducive to speeding up the recovery rate, reducing the inci鄄 dence of adverse reactions, and inhibiting the inflammatory response. It has a positive clinical significance. [Key words] Surgery of pulmonary bullae; Non -tracheal intubation anesthesia; Concept of accelerated rehabilitative surgery; Therapeutic effect
度袁降低不良反应发生率袁抑制炎性反应袁具有积极的临床意义遥
[关键词] 肺大泡手术曰非气管插管麻醉曰加速康复外科理念曰治疗效果
[中图分类号] R614
[文献标识码] B
[文章编号] 1673-9701渊2019冤16-0092-04
Effect of non-tracheal intubation anesthesia in surgical treatment of pa鄄 tients with pulmonary bullae