本文選題：Arndt支氣管內(nèi)阻斷器　切入點：雙腔支氣管導(dǎo)管　出處：《首都醫(yī)科大學(xué)學(xué)報》2017年03期

【摘要】：目的比較Arndt支氣管內(nèi)阻斷器和雙腔支氣管導(dǎo)管在小兒胸科手術(shù)中的單肺通氣效果。方法將40例擇期行胸科手術(shù)的患兒采用數(shù)字表法隨機分為Arndt支氣管內(nèi)阻斷器組(A組)和雙腔支氣管導(dǎo)管組(D組),每組20例。兩組患兒在麻醉誘導(dǎo)后行Arndt支氣管內(nèi)阻斷器或雙腔支氣管導(dǎo)管置入。觀察記錄兩組患兒插管前(T_1)、插管時(T_2)、雙肺通氣時(T_3)、單肺通氣時(T_4)平均動脈壓(mean arterial pressure,MAP)、心率(heart rate,HR)、呼氣末二氧化碳分壓(end-tidal carbon dioxide partial pressure,Pet CO_2)及氣道壓力(airway pressure,Paw)變化。記錄插管時間、肺萎陷時間、單肺通氣時間、術(shù)中低氧情況以及不良事件發(fā)生情況。結(jié)果 Arndt支氣管內(nèi)阻斷器組(A組)與雙腔支氣管導(dǎo)管組(D)比較,氣道壓力在單肺通氣時(T_4),A組明顯低于D組,呼氣末二氧化碳分壓在單肺通氣時(T_4),A組明顯低于D組(P0.05);A組患兒的插管定位時間短于D組(P0.05),肺完全萎陷時間、萎陷程度明顯長于、優(yōu)于D組(P0.05)。結(jié)論與盲插雙腔支氣管導(dǎo)管相比,纖支鏡定位Arndt支氣管內(nèi)阻斷器在小兒胸科手術(shù)中能提供更好的單肺通氣效果。
[Abstract]:Objective to compare the effect of single lung ventilation between Arndt intra bronchial occluder and double lumen bronchial catheter in pediatric chest surgery. Methods 40 children undergoing elective thoracic surgery were randomly divided into Arndt intra bronchial occluder group by digital table method. Group A (n = 20) and group D (n = 20) were treated with Arndt intra bronchial occluder or double lumen bronchial catheterization after anesthesia induction. Mean arterial pressure MAPP, heart rate, heart rate, end-tidal carbon dioxide partial pressurePet CO2), airway pressure and airway pressure during one-lung ventilation. Results compared with double lumen bronchial catheter group (group A), airway pressure in group A was significantly lower than that in group D during single lung ventilation, and the incidence of hypoxia and adverse events in group A was significantly lower than that in group D during single lung ventilation, the results showed that the airway pressure in group A was significantly lower than that in group D (P < 0.05), and that in group A was significantly lower than that in group D (P < 0.05). The intubation localization time of group A was significantly lower than that of group D (P 0.05), and the time of complete lung collapse was longer than that of group D (P 0.05), which was better than that of group D (P 0.05). Conclusion compared with the blind insertion of double-lumen bronchial catheter, the time of complete lung collapse was significantly longer in group A than that in group D, and it was better than that in group D (P 0.05). Arndt endobronchial occluder with fiberoptic bronchoscope can provide better effect of single lung ventilation in pediatric chest surgery.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京兒童醫(yī)院麻醉科;
【分類號】：R726.1

【相似文獻】

相關(guān)期刊論文 前1條

1 肖亮燦;葉升;許靜紅;榮健;;對比分析支氣管封堵器和雙腔支氣管導(dǎo)管對兒童單肺通氣的影響[J];中山大學(xué)學(xué)報(醫(yī)學(xué)科學(xué)版);2012年04期

，

本文編號：1664040