双腔气管插管手术患者麻醉复苏期的气道管理研究
Study on airway management of patients with double-lumen tracheal intubation during anesthesia recovery period
周娅梅 1詹正一 1周根芝 1王传光1
作者信息
- 1. 浙江省丽水市中心医院 麻醉科,浙江 丽水 323000
- 折叠
摘要
目的 探究双腔气管插管手术患者麻醉复苏期的气道管理策略.方法 回顾性分析60例2014年12月~2016年12月在浙江省丽水市中心医院接受双腔气管插管手术治疗患者的临床资料,对所有患者术前、手术结束时、拔管前、拔管后不同时间段的平均动脉压(MAP)、血氧饱和度(SpO2)以及心率(HR)、呼吸(R)指标变化情况进行综合评价.结果 患者手术结束时的MAP、SpO2指标与术前相比差异无统计学意义,拔管前、拔管时患者的MAP、SpO2水平明显高于手术前(P<0.05),并于拔管后5~10min恢复到术前水平;且手术结束时患者的HR、R指标与术前比较差异无统计学意义,而拔管前、拔管时患者的HR、R指标显著高于手术前,差异有统计学意义(P<0.05),并于拔管后10min恢复至术前水平.结论 对双腔气管插管手术患者麻醉复苏期气道给予严密的观察与科学的护理,不仅能够确保患者生命体征稳定,而且能够提升手术安全性,值得临床推广应用.
Abstract
Objective To explore the airway management strategy of patients with double-lumen tracheal intubation during anesthesia recovery period.MethodsA retrospective analysis of clinical data of 60 patients who underwent double-lumen tracheal intubation were enrolled from december 2014 to december 2016 in oue hospital was conducted.The mean arterial pressure (MAP), blood oxygen saturation (SpO2), heart rate (HR) and respiration (R) of all patients were measured at different time points,before and after operation, before and after extubation.ResultsThere was no significant difference in MAP and SpO2 between before and after operation,the levels of MAP and SpO2 before extubation and in extubation were significantly higher than those before operation (P<0.05), and five to ten minutes after extubation returned to the preoperative level.There was no significant difference in HR and R indexes between before and after operation, and the HR and R indexes in extubation and before extubation were significantly higher than those before operation, the difference was statistically significant(P<0.05), which was returned to preoperative level ten minutes after extubation.ConclusionIn the patients with double-lumen tracheal intubation, the observation and scientific care of the airway in the recovery period of anesthesia can not only ensure the stability of the vital signs, but also improve the safety of the patients.It is worthy of clinical application.
关键词
双腔气管插管/麻醉复苏期/气道管理/血氧饱和度Key words
double-lumen endotracheal intubation/anesthesia recovery period/airway management/oxygen saturation引用本文复制引用
基金项目
2014年浙江省丽水市科技局高层次人才培养基金(2014RC32)
出版年
2017
NETL
NSTL
维普
万方数据