摘要
目的:探讨支气管封堵器对胸腔镜肺大疱切除术患者血气分析及血流动力学的影响。方法:选取2020年4月—2022年4月贵州省贵阳市花溪区人民医院收治的60例胸腔镜肺大疱切除手术患者,采用随机数字表法分为对照组与观察组各30例。对照组术中采用双腔支气管导管,观察组术中采用支气管封堵器。比较两组手术视野、血气分析、血流动力学、并发症发生情况。结果:两组手术视野、并发症发生率比较,差异无统计学意义(P>0.05);插管前,两组动脉血氧分压(Pao2)、动脉血二氧化碳分压(PaCo2)、心率(HR)、平均动脉压(MAP)比较,差异无统计学意义(P>0.05);插管后,观察组Pao2高于对照组,PaCo2、HR、MAP低于对照组,差异有统计学意义(P<0.05)。结论:支气管封堵能够有效改善胸腔镜肺大疱切除术手术视野,患者的血气指标、血流动力学指标优于双腔支气管导管,安全性较好。
objectives To investigate the effects of bronchial blocker on blood gas analysis and hemodynamics in patients undergoing thoracoscopic lung bullae resection surgery.Methods A total of 60 patients who underwent thoracoscopic lung bullae resection surgery at Guiyang Huaxi District People's Hospital China,from April 2020 to April 2022 were selected.They were randomly divided into two groups:the control group(n=30)and the observation group(n=30).The control group used double-lumen endotracheal tubes during surgery,while the observation group used bronchial blockers.Surgical field of view,blood gas analysis,hemodynamics,and complications were compared between the two groups.Results Comparison of surgical field of view and incidence of complications between the two groups showed no statistically significant differences(P>0.05).Before intubation,there were no statistically significant differences(P>0.05)between the two groups in arterial oxygen pressure(PaO2),arterial carbon dioxide pressure(PaCo2),heart rate(HR),and mean arterial pressure(MAP).After intubation,the observation group had higher Pao2 and lower PaCO2,HR and MAP compared to the control group,with statistically significant differences(P<0.05).Conclusions Bronchial blockade can effectively improve the surgical field of view for thoracoscopic lung bullae resection,with minimal impact on patients'blood gas analysis and hemodynamics,and better safety.
作者
刘进
毕钰晶
LIU Jin;BI Yujing(Department of Anaesthesia,Guiyang Huaxi District People's Hospital Guiyang,Guizhou 550025,China)
出处
《医药前沿》
2024年第13期17-19,共3页
Journal of Frontiers of Medicine
关键词
胸腔镜肺大疱切除术
支气管封堵器
双腔支气管导管
血气分析
血流动力学
并发症
Thoracoscopic bullectomy surgery
Bronchial occlusion
Double-lumen endotracheal tube
Blood gas analysis
Hemodynamics
Complications
