CAJ | 학술논문

目的：探讨以单腔气管导管插管法行Robertshaw双腔支气管插管的可行性。方法选择80例ASAⅠ～Ⅱ级需行双腔支气管插管的胸科手术患者，随机分为单腔气管导管插管法组（A组）和传统插管法组（B组），每组40例。分别观察两组患者插管一次到位的成功率及插管并发症发生率。结果 A组患者插管一次到位成功率明显高于B组，差异有统计学意义（P＜0．05）；A组插管并发症发生率低于B组，但两者差异无统计学意义（P＞0．05）。结论以单腔气管导管插管法行Robertshaw双腔支气管插管较传统插管法一次到位成功率高，插管并发症发生率低，安全可行。
목적：탐토이단강기관도관삽관법행Robertshaw쌍강지기관삽관적가행성。방법선택80례ASAⅠ～Ⅱ급수행쌍강지기관삽관적흉과수술환자，수궤분위단강기관도관삽관법조（A조）화전통삽관법조（B조），매조40례。분별관찰량조환자삽관일차도위적성공솔급삽관병발증발생솔。결과 A조환자삽관일차도위성공솔명현고우B조，차이유통계학의의（P＜0．05）；A조삽관병발증발생솔저우B조，단량자차이무통계학의의（P＞0．05）。결론이단강기관도관삽관법행Robertshaw쌍강지기관삽관교전통삽관법일차도위성공솔고，삽관병발증발생솔저，안전가행。
Objective To evaluate the feasibility of using single lumen tube intubation technique in bronchial intubation with Robertshaw double-lumen tube .Methods 80 patients with ASA Ⅰ - Ⅱ level who need to accept bronchial intubation were ran-domly divided into two groups .Group A(n=40) accepted bronchial intubation using single lumen tube intubation technique .Group B(n=40) accepted bronchial intubation using traditional intubation technique .The single success rates and intubation complication rates were observed .Results The single success rates of group A was obviously higher than group B (P< 0 .05) ,the intubation complication rates of group A was lower than group B ,but with no statistical significance(P>0 .05) .Conclusion The single suc-cess rates of single lumen tube intubation technique in bronchial intubation with Robertshaw double-lumen tube is higher than tradi-tional intubation technique ,at the same time ,the complication rate of intubation is low ,safe and feasible .