首页|喉罩与气管导管联合支气管封堵器全麻行单肺通气在胸腔镜手术中可行性研究

喉罩与气管导管联合支气管封堵器全麻行单肺通气在胸腔镜手术中可行性研究

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目的:针对行单肺通气治疗的胸腔镜手术治疗患者,分析喉罩与气管导管联合支气管封堵器全麻干预的应用效果.方法:选取2020年1月~2022年12月本院收治的胸腔镜手术治疗患者78例为研究对象.根据随机数字表法分为对照组(n=39,气管导管联合支气管封堵器全麻)和观察组(n=39,实施喉罩与气管导管联合支气管封堵器全麻),对比观察两组麻醉方案应用效果.结果:观察组拔管时间、自主呼吸时间、睁眼时间短(P<0.05);对比观察两组不同时间节点平均动脉压、心率数据变化差异发现存在统计学意义(P<0.05);观察组术中肺萎陷评分高,术后不良反应发生率低(P<0.05).结论:在开展单肺通气胸腔镜手术治疗过程中,予以喉罩与气管导管联合支气管封堵器全麻处理,利于实现良好的麻醉管理.
Feasibility Study of Single Lung Ventilation Under General Anesthesia with Laryngeal Mask Airway and Tracheal Tube Combined with Bronchial Occluder in Thoracoscopic Surgery
Objective:To analyze the effect of general anesthesia intervention with laryngeal mask airway(LMA)and tracheal tube combined with bronchial occluder for patients undergoing thoracoscopic surgery with single lung ventilation.Methods:78 patients treated with thoracoscopic surgery admitted to our hospital from January 2020 to December 2022 were selected for the study.According to the random number table method,they were divided into the control group(n=39,tracheal catheter combined with bronchial blocker general anesthesia)and the observation group(n=39,the implementation of laryngeal mask and tracheal catheter combined with bronchial blocker general anesthesia),and compared and observed the effect of the application of anesthesia program of the two groups.Results:The observation group had shorter extubation time,autonomous respiration time,and eye-opening time(P<0.05);The difference in the mean arterial pressure and heart rate data changes at different time nodes was found to be statistically significant when comparing and observing the two groups(P<0.05);And the observation group had a high intraoperative lung atrophy score and a low incidence of postoperative adverse reactions(P<0.05).Conclusion:Laryngeal mask and tracheal tube combined with bronchial blocker for general anesthesia during thoracoscopic surgery with single lung ventilation facilitates good anesthesia management.

thoracoscopic surgerysingle lung ventilationlaryngeal maskbronchial occluder

魏赐宝、郑丽娜、李金送

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安远县人民医院麻醉科 (江西赣州 342100)

胸腔镜手术 单肺通气 喉罩 支气管封堵器

赣州市科技计划项目

20222ZDX9055

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(18)