CAJ | 학술논문

目的探讨双腔支气管导管在胸外科手术麻醉中的效果.方法以我院收治的60例胸外科手术患者为研究对象,随机分为观察组与对照组,观察组患者采用双腔支气管插管,对照组采用常规单腔气管插管,比较两组患者一般生命体征、肺损伤相关因子和并发症发生情况之间的差异.结果两组患者一般生命体征指标比较差异无统计学意义(P＞0.05).在肺损伤相关血清标记物水平的比较中,观察组IL-6、TNF-α、SP-A和MDA分别为(245.01±110.08)pg/ml、(3.69±0.98)ng/ml、(2.10±0.65)μg/ml和(24.58±3.90) nmol/ml,对照组分别为(410.58±128.65) pg/ml、(4.98-0.94) ng/ml、(2.94±0.58)μg/ml和(29.14±5.17)nmol/ml,观察组四项指标皆低于对照组,两组比较差异有统计学意义(P＜0.05).观察组术中及术后并发症发生率分别为3.33％和6.67％,对照组分别为23.33％和30.00％,两组比较差异有统计学意义(P＜0.05).结论双腔支气管导管可以在胸外科手术麻醉中起到满意效果,其可在保证麻醉效果的同时,降低患者肺损伤程度,减少并发症发生的危险.
목적 탐토쌍강지기관도관재흉외과수술마취중적효과.방법 이아원수치적60례흉외과수술환자위연구대상,수궤분위관찰조여대조조,관찰조환자채용쌍강지기관삽관,대조조채용상규단강기관삽관,비교량조환자일반생명체정、폐손상상관인자화병발증발생정황지간적차이.결과 량조환자일반생명체정지표비교차이무통계학의의(P＞0.05).재폐손상상관혈청표기물수평적비교중,관찰조IL-6、TNF-α、SP-A화MDA분별위(245.01±110.08)pg/ml、(3.69±0.98)ng/ml、(2.10±0.65)μg/ml화(24.58±3.90) nmol/ml,대조조분별위(410.58±128.65) pg/ml、(4.98-0.94) ng/ml、(2.94±0.58)μg/ml화(29.14±5.17)nmol/ml,관찰조사항지표개저우대조조,량조비교차이유통계학의의(P＜0.05).관찰조술중급술후병발증발생솔분별위3.33％화6.67％,대조조분별위23.33％화30.00％,량조비교차이유통계학의의(P＜0.05).결론 쌍강지기관도관가이재흉외과수술마취중기도만의효과,기가재보증마취효과적동시,강저환자폐손상정도,감소병발증발생적위험.
Objective To analyze the effect of double-lumen endotracheal tube in the anesthesia process of thoracic surgeries.Methods 60 patients with thoracic surgeries were randomly divided into observation group and the control group.The double-lumen endotracheal tube was used in the observation group,and the control group used the single-lumen endotracheal tube.The difference of lung injury related factors,vital signs and the incidence of complications between the two groups were compared.Results In the comparison of vital signs,there was no significant difference between two groups (P ＞ 0.05).However,there was a significant reduced in the lung injury related factor and incidence of complications (P ＜ 0.05).Conclusions It would get a satisfactory effect to use double-lumen endotracheal tube in the anesthesia process of thoracic surgeries,with the same anesthesia effect,less lung injury and complication.