双腔支气管导管在胸外科手术麻醉中的应用

Effect analysis on double-lumen endotracheal tube in anesthesia process of thoracic surgeries

目的 探讨双腔支气管导管在胸外科手术麻醉中的效果.方法 以我院收治的60例胸外科手术患者为研究对象,随机分为观察组与对照组,观察组患者采用双腔支气管插管,对照组采用常规单腔气管插管,比较两组患者一般生命体征、肺损伤相关因子和并发症发生情况之间的差异.结果 两组患者一般生命体征指标比较差异无统计学意义（P＞0.05）.在肺损伤相关血清标记物水平的比较中,观察组IL-6、TNF-α、SP-A和MDA分别为（245.01±110.08）pg/ml、（3.69±0.98）ng/ml、（2.10±0.65）μg/ml和（24.58±3.90） nmol/ml,对照组分别为（410.58±128.65） pg/ml、（4.98-0.94） ng/ml、（2.94±0.58）μg/ml和（29.14±5.17）nmol/ml,观察组四项指标皆低于对照组,两组比较差异有统计学意义（P＜0.05）.观察组术中及术后并发症发生率分别为3.33％和6.67％,对照组分别为23.33％和30.00％,两组比较差异有统计学意义（P＜0.05）.结论 双腔支气管导管可以在胸外科手术麻醉中起到满意效果,其可在保证麻醉效果的同时,降低患者肺损伤程度,减少并发症发生的危险.

Objective To analyze the effect of double-lumen endotracheal tube in the anesthesia process of thoracic surgeries.Methods 60 patients with thoracic surgeries were randomly divided into observation group and the control group.The double-lumen endotracheal tube was used in the observation group,and the control group used the single-lumen endotracheal tube.The difference of lung injury related factors,vital signs and the incidence of complications between the two groups were compared.Results In the comparison of vital signs,there was no significant difference between two groups （P ＞ 0.05）.However,there was a significant reduced in the lung injury related factor and incidence of complications （P ＜ 0.05）.Conclusions It would get a satisfactory effect to use double-lumen endotracheal tube in the anesthesia process of thoracic surgeries,with the same anesthesia effect,less lung injury and complication.