供氧气管导管在麻醉苏醒室的应用研究

发布时间：2018-01-20 15:07

  本文关键词： 供氧气管导管 气道压力 气道阻力 呼吸做功　出处：《中国现代医学杂志》2017年29期 　论文类型：期刊论文

【摘要】：目的观察全身麻醉患者在其手术后麻醉复苏过程中供氧气管导管改善通气质量的效果。方法选择该院在全身麻醉下行四肢手术的患者90例,随机平均分为3组,每组30例,均使用7.0号气管导管:普通气管导管组(A组)、普通气管导管气管内吹气组(B组)及供氧气管导管组(C组)。术毕带气管导管送麻醉苏醒室(PACU)。入PACU后记录基础生命体征。当患者恢复自主呼吸后通过气管导管予以相应的不同供氧方式,在四个成串刺激(TOF)T4/T1≥0.9时记录患者各项生命体征,并通过麻醉机观察和记算各项呼吸参数。结果患者入PACU时各组间生命体征比较,差异无统计学意义(P0.05)。在TOF T4/T1≥0.9时:3组比较,患者心率和平均动脉压升高(P0.05),各项气道参数均增加(P0.05),A组和B组间比较,差异无统计学意义(P0.05)。3组间呼吸频率和潮气量比较,差异无统计学意义(P0.05)。结论供氧气管导管在全身麻醉患者术后苏醒过程中,能够摆脱普通气管导管需要借助的T型管等辅助呼吸设备,对患者呼吸道的保护及减少呼吸做功有重要意义。
[Abstract]:Objective to observe the effect of oxygen supply tracheal catheter on the improvement of ventilation quality in patients undergoing general anesthesia and resuscitation after operation. Methods 90 patients undergoing limbs operation under general anesthesia in our hospital were selected. They were randomly divided into 3 groups (30 cases in each group). Normal trachea tube trachea blowing group (group B) and oxygen supply tracheal duct group (group C). Basic vital signs were recorded after PACU. Different oxygen supply modes were given through trachea catheter when the patient returned to spontaneous respiration. All vital signs were recorded at T4 / T1 鈮，

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