双腔气管导管接头连接喉罩在全身麻醉纤维支气管镜检查中的应用

发布时间：2018-10-14 08:12

【摘要】：目的观察应用双腔气管导管接头连接喉罩在全身麻醉下行纤维支气管镜(纤支镜)检查的效果。方法选择纤支镜检查患者30例,随机分为应用双腔气管导管接头连接喉罩在全身麻醉下行纤支镜检查组(A组)与局部表面麻醉下行纤支镜检查组(B组),记录两组患者术前(T1)、进镜时(T2)、术中(T3)时的MAP、HR值,记录两组患者麻醉完成后进镜时间(T4)、进镜后手术时间(T5)及患者满意率。结果 A组患者在T1、T2、T3时的MAP、HR值明显低于B组,P0.05;A组患者进镜时间、进镜后手术时间明显低于B组,P0.05;患者满意率显著高于B组,P0.05。结论双腔气管导管接头连接喉罩应用于全身麻醉支气管镜检查,解决了检查中通气问题,保障了患者安全,患者无痛苦记忆、增加患者舒适度和满意度,具有良好的社会效益,值得临床应用。
[Abstract]:Objective to observe the effect of fiberoptic bronchoscopy (fiberoptic bronchoscopy) under general anesthesia by using double lumen tracheal duct connector and laryngeal mask. Methods Thirty patients with fiberoptic bronchoscopy were selected. The patients were randomly divided into two groups: the fiberoptic bronchoscope inspection group (group A) under general anesthesia and the fiberoptic bronchoscope inspection group (group B) under local surface anesthesia. The MAP,HR values of the two groups were recorded before operation (T1), during endoscopy (T2), and during operation (T3). The time of endoscopy (T 4), the time of operation (T 5) and the rate of satisfaction were recorded. Results the MAP,HR value of group A was significantly lower than that of group B at T _ 1 and T _ 2 T _ 3, and the time of operation was significantly lower than that of group B (P 0.05), and the satisfaction rate of patients was significantly higher than that of group B (P 0.05). Conclusion the application of the double lumen tracheal duct connector to the laryngeal mask in general anesthesia bronchoscopy can solve the problem of ventilation during the examination, ensure the safety of the patients, have no painful memory, increase the comfort and satisfaction of the patients, and have a good social benefit. It is worthy of clinical application.
【作者单位】：山东省滨州市人民医院麻醉科;
【分类号】：R614.2

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