中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2013年
4期
15-16
,共2页
咽喉表面麻醉%插管%老年%气管
嚥喉錶麵痳醉%插管%老年%氣管
인후표면마취%삽관%노년%기관
Throat surface anesthesia%Intubation tube%Agedness%Trachea
目的观察咽喉表面麻醉慢诱导气管内插管对老年患者的影响.方法66例择期行上腹部手术患者,随机分为咽喉表面麻醉慢诱导气管内插管组(观察组)和快速诱导插管组(对照组),每组各33例,观察两组诱导前(T0)及诱导后(T1)、插管即刻(T2)、插管后5 min(T3)的平均动脉压和心率、镇痛效果和不良反应.结果与T0比较,观察组诱导开始后各时点MAP、HR处于平稳状态,无显著性差异;与T0比较,对照组T1时MAP 明显下降(P <0.05);T2、T3时MAP、HR皆明显上升并持续(P <0.05);与观察组比较,对照组T2、T3的MAP、HR均显著增高(P <0.05);观察组在插管期间1例出现心动过缓,对照组3例出现室性早搏;观察组病人可较好地耐受气管导管.结论咽喉表面麻醉慢诱导气管内插管对老年人更安全.
目的觀察嚥喉錶麵痳醉慢誘導氣管內插管對老年患者的影響.方法66例擇期行上腹部手術患者,隨機分為嚥喉錶麵痳醉慢誘導氣管內插管組(觀察組)和快速誘導插管組(對照組),每組各33例,觀察兩組誘導前(T0)及誘導後(T1)、插管即刻(T2)、插管後5 min(T3)的平均動脈壓和心率、鎮痛效果和不良反應.結果與T0比較,觀察組誘導開始後各時點MAP、HR處于平穩狀態,無顯著性差異;與T0比較,對照組T1時MAP 明顯下降(P <0.05);T2、T3時MAP、HR皆明顯上升併持續(P <0.05);與觀察組比較,對照組T2、T3的MAP、HR均顯著增高(P <0.05);觀察組在插管期間1例齣現心動過緩,對照組3例齣現室性早搏;觀察組病人可較好地耐受氣管導管.結論嚥喉錶麵痳醉慢誘導氣管內插管對老年人更安全.
목적관찰인후표면마취만유도기관내삽관대노년환자적영향.방법66례택기행상복부수술환자,수궤분위인후표면마취만유도기관내삽관조(관찰조)화쾌속유도삽관조(대조조),매조각33례,관찰량조유도전(T0)급유도후(T1)、삽관즉각(T2)、삽관후5 min(T3)적평균동맥압화심솔、진통효과화불량반응.결과여T0비교,관찰조유도개시후각시점MAP、HR처우평은상태,무현저성차이;여T0비교,대조조T1시MAP 명현하강(P <0.05);T2、T3시MAP、HR개명현상승병지속(P <0.05);여관찰조비교,대조조T2、T3적MAP、HR균현저증고(P <0.05);관찰조재삽관기간1례출현심동과완,대조조3례출현실성조박;관찰조병인가교호지내수기관도관.결론인후표면마취만유도기관내삽관대노년인경안전.
Objective To observe the surface anesthetic throat slow induction endotracheal intubation effects in elderly patients. Methods 66 cases of option forward line in patients with abdominal surgery were randomly divided into throat surface anesthesia slow induction endotracheal intubation group(observation group)and rapid induction intubation group(control group),each group of 33 cases,the changes of mean arterial pressure,heart rate,analgesic effect,adverse effect and before(T0)and after inducing (T1),Intubation immediate(T2),5 mins after windpipe intubation after windpipe intubation(T3)were observed. Results Comparison with T0,the MAP and HR of observation group were plateau after the start of induction each time,there was no significant difference;comparison with T0,the MAP of control group declined obviously at T1(P <0.05),MAP and HR of control group were significantly higher at T2、T3(P <0.05);comparison with observation group,the MAP and HR of control group were significantly higher at T2、T3(P <0.05);there was1 case with bradycardia of observation group during intubation;there was 3 cases ventricular premature beat of control group;the patient of the observation group can better withstand the endotracheal tube. Conclusion Throat surface anesthesia slow induction endotracheal tube for the elderly are more safety.
