摘要
目的:探讨单腔气管插管麻醉单孔胸腔镜手术治疗肺大泡的临床效果。方法:选取2019年3月1日-2021年2月28日台山市人民医院收治的59例肺大泡患者,根据掷硬币法将患者分为对照组(n=28)和观察组(n=31)。对照组行双腔气管插管麻醉多孔胸腔镜手术,观察组行单腔气管插管麻醉单孔胸腔镜手术。比较两组麻醉时间、术中出血量、手术时间、住院时间、不同时间点心率和舒张压、术后疼痛情况及术后并发症发生情况。结果:观察组麻醉插管时间为(82.41±10.49)min,短于对照组的(87.74±9.32)min,差异有统计学意义(P<0.05)。两组术中出血量、手术时间、住院时间比较,差异均无统计学意义(P>0.05)。麻醉前(T_(0))、气管插管时(T_(1))、气管插管5 min后(T_(2))、气管拔管时(T_(3))时,两组心率、舒张压比较,差异均无统计学意义(P>0.05)。术后1、3 d,观察组VAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组术后并发症发生率为6.45%,低于对照组的17.86%,差异无统计学意义(P>0.05)。结论:单腔气管插管麻醉单孔胸腔镜手术治疗肺大泡麻醉时间短,减轻患者术后疼痛,且并不增加术后并发症,有利于患者快速康复,安全性较好。
Objective:To explore the clinical curative effect of single-port thoracoscopy under singlelumen tracheal intubation anesthesia in the treatment of pulmonary bulla.Method:A total of 59 patients with pulmonary bulla admitted to Taishan People’s Hospital from March 1,2019 to February 28,2021 were selected.They were divided into control group(n=28)and observation group(n=31)according to coin tossing method.The control group underwent multi-port thoracoscopy operation under double-lumen tracheal intubation anesthesia,and the observation group underwent single-port thoracoscopy under single-lumen tracheal intubation anesthesia.The anesthesia time,intraoperative blood loss,operation time,length of hospital stay,heart rate and diastolic blood pressure at different time points,postoperative pain and postoperative complications were compared between two groups.Result:The anesthesia time of the observation group was(82.41±10.49)min,which was shorter than(87.74±9.32)min of the control group,the difference was statistically significant(P<0.05).There were no significant differences in intraoperative blood loss,operation time and length of hospital stay between two groups(P>0.05).Before anesthesia(T_(0)),during endotracheal intubation(T_(1)),5 min after endotracheal intubation(T_(2)),and during tracheal extubation(T_(3)),there were no significant differences in heart rate and diastolic blood pressure between two groups(P>0.05).1 and 3 d after operation,VAS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications of the observation group was 6.45%,which was lower than 17.86%of the control group,the difference was not statistically significant(P>0.05).Conclusion:The single-port thoracoscopy under single-lumen tracheal intubation anesthesia has a short anesthesia time,alleviates postoperative pain,and does not increase postoperative complications,which is conducive to the rapid recovery of patients with good safety.
作者
陈志艺
黄少先
李卓毅
CHEN Zhiyi;HUANG Shaoxian;LI Zhuoyi(Taishan People’s Hospital,Guangdong Province,Taishan 529200,China;不详)
出处
《中国医学创新》
CAS
2022年第11期50-53,共4页
Medical Innovation of China
关键词
肺大泡
单腔气管插管麻醉
单孔胸腔镜
双腔气管插管麻醉
多孔胸腔镜
Pulmonary bulla
Single-lumen tracheal intubation anesthesia
Single-port thoracoscopy
Double-lumen tracheal intubation anesthesia
Multi-port thoracoscopy
