支气管封堵器与双腔支气管导管用于胸科手术患者单肺通气效果的比较.docVIP

支气管封堵器与双腔支气管导管用于胸科手术患者单肺通气效果的比较 　　[摘要] 目的 探讨支气管封堵器和双腔支气管导管在胸科手术患者单肺通气的效果。 方法 选取2014年12月～2015年2月于我院行胸科手术患者60例， 随机分为支气管封堵组（BB组）和双腔支气管导管组（DLT组），每组30例。麻醉诱导后，BB组通过支气管封堵器实现双肺通气，DLT组通过双腔支气管导管实现双肺通气。记录两组插管前、后和拔管前、后的平均动脉压（MAP）、心率（HR）、插管定位的时间、单肺通气前及单肺通气后的气道压力、肺萎陷质量、胸膜打开后20 min的动脉血气记录PaO2及PaCO2、气管拔管早期咽痛及声音嘶哑的发生情况。结果 两组插管前MAP、HR比较差异无统计学意义（P0.05），DLT组插管后及拔管后的MAP及HR较BB组明显升高（P0.05），两组术侧肺萎陷质量比较差异无统计学意义（P0.05）。 结论 与双腔支气管导管比较，支气管封堵器单肺通气效果满意，血流动力学稳定，对咽喉的损伤较小，是一种切实可行的单肺通气方法。 　　[关键词] 支气管封堵器；双腔支气管导管；单肺通气；呼吸；肺肿瘤 　　[中图分类号] R614.3 [文献标识码] B [文章编号] 1673-9701（2015）30-0104-04 　　Effect comparison of bronchial occlusive device and double-lumen bronchial tube on one-lung ventilation of thoracic surgery patients 　　DIAO Yujing WANG Shoushi CAO Qianqian NING Jishun 　　Department of Anesthesiology， Qingdao Central Hospital， Qingdao 266042， China 　　[Abstract] Objective To explore the effects of bronchial occlusive device and double-lumen bronchial tube on the one-lung ventilation of thoracic surgery patients. Methods Sixty patients who underwent thoracic surgery in our hospital from December 2014 to February 2015 were randomly divided into the bronchial occlusive device group （BB group） and double-lumen bronchial tube（DLT group）， with 30 patients in each group. After anesthesia induction， the BB group achieved two-lung ventilation through bronchial occlusive device and the DLT group achieved two-lung ventilation through double-lumen bronchial tube. The mean arterial pressure （MAP） and heart rates （HR） before and after intubation and before and after extubation， intubation positioning time， airway pressure before and after one-lung ventilation， lung collapse quality， arterial blood gas PaO2 and PaCO2 20 minutes after pleural opening， and occurrence of sore throat and hoarseness in the early stage of tracheal extubation of the two groups were recorded. Results The differences in MAP and HR between the two groups were not statistically significant before intubation （P0.05）， and MAP and HR after