双腔气管插管手术患者麻醉复苏期的气道管理分析.docVIP

精品论文 参考文献 双腔气管插管手术患者麻醉复苏期的气道管理分析 许伯林 王庆安 李良文 　　（四川省绵阳市三台县人民医院麻醉科 四川 绵阳 621100） 　　【摘要】 目的：对双腔气管插管手术患者麻醉复苏期间气管道管理方式以及效果进行分析。方法：选择我院2013年10月～2015年10月间57例在手术麻醉中使用双腔气管插管的患者，对所有患者麻醉复苏过程中的气管管理情况进行回顾性分析，同时对患者手术前、拔除气管插管前、拔管时、拔管后5min、拔管后10min、手术后的生命体征进行监测，调查患者气管管理效果。结果：患者拔除气管插管前、拔管时两个时间的心率、中心静脉压、呼吸次数、血氧饱和度与其他时间段相比较存在明显差异，P＜0.05。结论：加强双腔气管插管麻醉复苏期的气管道管理能够帮助患者维持稳定的生命体征，对患者的康复有着非常重要的意义。 　　【关键词】 双腔气管插管；气管道管理；麻醉复苏 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2016）21-0026-02 　　Analysis of double lumen airway management during patients, the recovery period of anesthesia with tracheal intubation operation 　　Xu Bolin, Wang Qingrsquo;an, Li Liangwen.The Peoples Hospital of Santai County, Sichuan Province, Mianyang 621100, China 　　【Abstract】Objective To double lumen endotracheal intubation in patients with anesthesia recovery period gas pipeline management mode and effect analysis. Methods Our Hospital between October 2013 and 2015 October 57 cases in surgical anesthesia using double lumen endotracheal intubation in patients and in all patients anesthesia recovery in the process of airway management were retrospectively analyzed and also to patients before surgery, before tracheal intubation, extubation, 5 min after extubation, 10min after extubation, postoperative vital signs monitoring, investigation in patients with gas pipeline management effect. Results Before extubation, two time of extubation heart Rate, central venous pressure, respiratory frequency, blood oxygen saturation and other time periods compared to significant difference, P lt; 0.05. Conclusion Strengthen double lumen endotracheal intubation anesthesia recovery period of gas pipeline management can help patients maintain stable vital signs, the rehabilitation of patients has a very important significance. 　　【Key words】Double cavity intubation;Gas pipeline management; Anesthesia recovery 　　手术前患者需要进行麻醉，麻醉能够帮助患者保持平静，减轻患者痛苦。对于胸腔手术患者来说，为了在手术中获得平静的手术视野，需要保持单侧肺部通气。双腔支气管插管是保证单侧肺通气的重要方式，在手术的过