单肺通气麻醉在胸科手术中的应用效果分析

李俊伟

（陕西省渭南市潼关县人民医院，陕西 渭南，714300）

浏览次数：108次 下载次数：337次

摘要：

目的 探讨单肺通气麻醉在胸科手术中的应用效果。方法 选择2014年6月至2016年6月本院胸外科收治的74例患者作为研究对象，随机分为对照组（37例）和观察组（37例）。两组均行胸科手术治疗，观察组采用双腔支气管插管单肺通气麻醉，对照组采用单腔管单肺通气麻醉，比较两组患者的血压、心率、血气分析指标及不良反应情况。结果 开胸时、开胸后 30 min、恢复双肺通气时、手术结束时，观察组患者的SBP、DBP、PaO₂ 指标水平均显著高于对照组，HR、PaCO₂指标水平显著 低于对照组（P<0.05）。观察组不良反应发生率（13.51%）显著低于对照组（27.03%），差异具有统计学意义（P<0.05）。结论 胸科手术中应用双腔支气管插管单肺通气麻醉效果优于单腔管单肺通气麻醉。

关键词：双腔支气管插管；单肺通气；胸科手术

中图分类号：R614文献标志码：A文章编号：2096-1413(2016)25-0092-02

The application effect of one-lung ventilation anesthesia in thoracic surgery
LI Jun-wei
(People`s Hospital of Tongguan County, Weinan 714300, China)

ABSTRACT: Objective To investigate the application effect of single lu ng ventilation anesthesia in thoracic surgery. Methods Seventy-four cases of patients admitted in Department of Thoracic Surgery in our hospital from June 2014 to June 2016 were selected, and randomly divided into control group (37 cases) and observation group (37 cases). Thoracic surgery was performed in two groups, the observation group received double lumen endotracheal intubation anesthesia and one lung ventilation, while the control group received single lumen tube for single lung ventilation anesthesia. The blood pressure, heart rate, blood gas analysis index and the incidence of adverse reaction were compared. Results The time of opening the chest, 30 min after opening the chest, double lung ventilation recovery and the operation fininshed, the SBP, DBP, PaO₂ levels of the observation group were significantly higher than those of the control group (P<0.05); the levels of HR and PaCO₂ of the observation group were significantly lower than those of the control group (P<0.05). The incidence rate of adverse reaction in the observation group was 13.51% significantly lower than 27.03% of the control group, the difference between two groups was significant (P<0.05). Conclusion The anesthesia effect of double lumen endotracheal intubation and one lung ventilation is better than single lumen endotracheal intubation and one lung ventilation during thoracic surgery. KEYWORDS: double lumen endotracheal intubation; one lung ventilation; thoracic surgery

参考文献：
[1] 黄冰.单肺通气麻醉在胸科手术中应用的临床与实验研究[D].南宁:广西医科大学,2012.
[2] 胡健,桂江华.双腔支气管插管单肺通气麻醉用于胸科手术中的体会[J].江西医药,2013,48(6):525-527.
[3] 李菊芬,石丽琴.双腔支气管插管行单肺通气麻醉技术在胸科手术应用[J].中国社区医师:医学专业,2011,13(28):62-63.