高频喷射通气在俯卧位非气管插管全身麻醉气道管理中应用效果.docVIP

高频喷射通气在俯卧位非气管插管全身麻醉气道管理中应用效果 　　【摘要】 目的：探讨高频喷射通气在俯卧位非气管插管全身麻醉气道管理中的应用效果。方法：选取笔者所在医院2014年1-10月收治的100例椎体成形手术（PVP）或经内镜逆行胆管照影（ERCP）术患者资料进行分析，根据不同的通气方式将患者分为对照组和试验组，对照组采用经鼻导管吸氧，试验组采用高频喷射通气，比较两组效果。结果：两组手术前SpO2、PaO2以及PaCO2比较差异均无统计学意义（P0.05）；试验组手术后SpO2、PaO2均显著高于对照组，PaCO2显著低于对照组（P0.05），试验组苏醒时间显著短于对照组（P0.05）。结论：在俯卧位非气管插管全身麻醉患者中采用高频喷射通气进行气道管理效果理想，对术中低氧血症的预防及进行有效的气道管理提供了佐证。 　　【关键词】 高频喷射通气； 俯卧位非气管插管全身麻醉； 气道管理； 应用效果 　　中图分类号 R614.2 文献标识码 B 文章编号 1674-6805（2016）9-0013-02 　　【Abstract】 Objective：To investigate application effect of high-frequency jet ventilation in the airway management of non-tracheal intubation anesthesia in prone position.Method：100 data of patients in vertebroplasty surgery（PVP） or endoscopic retrograde biliary Movies surgery（ERCP） were analyzed from January 2014 to October 2014 in our hospital，which were divided into the control group and the experimental group depending on the way of ventilation，the control group was used nasal cannula oxygen，the experimental group was used high frequency jet ventilation，the effects were compared.Result：The preoperative differences of the SpO2，PaO2 and PaCO2 were not significant（P0.05）；the After surgery，the SpO2，PaO2 in the experimental group were significantly higher（P0.05）；the recovery time of the experimental group was significantly shorter than the control group（P0.05）.Conclusion：The results of using of high frequency jet ventilation in the prone position of non-intubated patients under general anesthesia airway management are satisfactory，it provide support to the prevention of intraoperative hypoxemia and effective airway management. 　　【Key words】 High frequency jet ventilation； Non-tracheal intubation anesthesia in prone position； Airway management； Application effect 　　First-author’s address：Liuzhou Traditional Chinese Medical Hospital，Liuzhou 545001，China 　　doi：10.14033/j.cnki.cfmr.2016.9.007 　　椎体成形手术（PVP）或经内镜逆行胆管照影（ERCP）术是临床上常见的手术，而患者手术过程中传统的麻醉方式气管插管全麻弊端相对较多，气管插管全麻对机体产生的刺激较大，心血管反应发生率也比较高，部分患者需要肌松剂打断自主呼吸，麻醉药用量大，在