CAJ | 학술논문

目的探讨七氟醚麻醉诱导下胃管置入以及将斑马导丝作为胃管管芯的可行性(斑马导丝选用泌尿外科经皮肾镜手术后废弃的导丝).方法将需要留置胃管的40例患者随机分成实验组和对照组各20例,实验组在七氟醚吸入全麻下斑马导丝引导下胃管置入；对照组按常规置入胃管.比较2组置管过程中生理指标的变化情况、不良反应的发生率及一次置管成功率和人均置管时间.结果实验组置管前和置管时的血压、心率等生理指标比较无显著波动,而对照组血压和心率波动明显.置管时的不良反应发生率、一次置管成功率、平均置管时间实验组均显著优于对照组,差异有统计学意义.结论七氟醚麻醉诱导下置胃管是一种理想的无痛苦置胃管操作方法.斑马导丝管芯胃管在麻醉状态下置入简单、快捷.
목적 탐토칠불미마취유도하위관치입이급장반마도사작위위관관심적가행성(반마도사선용비뇨외과경피신경수술후폐기적도사).방법 장수요류치위관적40례환자수궤분성실험조화대조조각20례,실험조재칠불미흡입전마하반마도사인도하위관치입；대조조안상규치입위관.비교2조치관과정중생리지표적변화정황、불량반응적발생솔급일차치관성공솔화인균치관시간.결과 실험조치관전화치관시적혈압、심솔등생리지표비교무현저파동,이대조조혈압화심솔파동명현.치관시적불량반응발생솔、일차치관성공솔、평균치관시간실험조균현저우우대조조,차이유통계학의의.결론 칠불미마취유도하치위관시일충이상적무통고치위관조작방법.반마도사관심위관재마취상태하치입간단、쾌첩.
Objective To investigate the practicability of gastric intubation with zebra-guidewire under the induction of anesthesia with sevoflurane (zebra-guidewire was the obsolete guide wire in percutaneous nephrolithotomy in urology surgery). Methods The patients who needed gastric intubation were randomized into the experimental group and the control group with 20 patients in each group.the experimental group received gastric intubation with zebra- guidewire under the induction of anesthesia with sevoflurane.In the control group,the gastric tubes were catheterized with routine method.The physiological indices changes,incidence rate of adverse reaction and success rate of one-time catheterization and average time of catheterization per patient were compared between the two groups. Results In patients of the experimental group,the blood pressure,heart rate before and during the intubation did not fluctuate evidently,but in the control group the results were the opposite.In the experimental group the incidence rate of adverse reaction,success rate of one-time catheterization and average time of catheterization per patient were superior to the control group. Conclusions Gastric intubation under the induction of anesthesia with sevoflurane was a painless way of gastric intubation.Gastric intubation with zebra-guidewire under anesthesia state was simple and fast.