本文關(guān)鍵詞： 供氧氣管導(dǎo)管 氣道壓力 氣道阻力 呼吸做功　出處：《中國現(xiàn)代醫(yī)學(xué)雜志》2017年29期 　論文類型：期刊論文

【摘要】：目的觀察全身麻醉患者在其手術(shù)后麻醉復(fù)蘇過程中供氧氣管導(dǎo)管改善通氣質(zhì)量的效果。方法選擇該院在全身麻醉下行四肢手術(shù)的患者90例,隨機(jī)平均分為3組,每組30例,均使用7.0號氣管導(dǎo)管:普通氣管導(dǎo)管組(A組)、普通氣管導(dǎo)管氣管內(nèi)吹氣組(B組)及供氧氣管導(dǎo)管組(C組)。術(shù)畢帶氣管導(dǎo)管送麻醉蘇醒室(PACU)。入PACU后記錄基礎(chǔ)生命體征。當(dāng)患者恢復(fù)自主呼吸后通過氣管導(dǎo)管予以相應(yīng)的不同供氧方式,在四個(gè)成串刺激(TOF)T4/T1≥0.9時(shí)記錄患者各項(xiàng)生命體征,并通過麻醉機(jī)觀察和記算各項(xiàng)呼吸參數(shù)。結(jié)果患者入PACU時(shí)各組間生命體征比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。在TOF T4/T1≥0.9時(shí):3組比較,患者心率和平均動(dòng)脈壓升高(P0.05),各項(xiàng)氣道參數(shù)均增加(P0.05),A組和B組間比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。3組間呼吸頻率和潮氣量比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論供氧氣管導(dǎo)管在全身麻醉患者術(shù)后蘇醒過程中,能夠擺脫普通氣管導(dǎo)管需要借助的T型管等輔助呼吸設(shè)備,對患者呼吸道的保護(hù)及減少呼吸做功有重要意義。
[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，

本文編號：1448646