非气管插管麻醉在胸腔镜手术中的应用效果

Application effect of non-tracheal intubation anesthesia in thoracoscopic surgery

目的评价非气管插管麻醉在胸腔镜手术中的应用效果并进行进一步分析。方法选择2013年1月~2016年12月本院收治的需行胸腔镜手术的81例患者作为研究对象,利用计算机产生随机数,将研究对象分为对照组(41例)和实验组(40例)。对照组采用传统的胸腔镜手术麻醉方式,实验组采用非气管插管麻醉方式,比较两组的麻醉效果、手术成功率、术后并发症发生率以及术后的恢复速度。结果两组的HR、MAP和Sp O2水平以及手术成功率比较,差异无统计学意义(P>0.05)。实验组的麻醉致不良反应发生率显著低于对照组,差异有统计学意义(P<0.05)。两组的术后并发症发生率比较,差异无统计学意义(P>0.05)。实验组的患者满意度显著高于对照组,差异有统计学意义(P<0.05)。实验组的术后可下地活动时间及术后可进食时间均显著短于对照组,差异有统计学意义(P<0.05)。结论在胸腔镜手术中应用非气管插管麻醉方式能够显著减少麻醉引起的不良反应,加快术后康复,具有很好的临床推广价值。

Objective To evaluate the application effect of non-tracheal intubation anesthesia in thoracoscopic surgery and to further analyze.Methods From January 2013 to December 2016,81 patients who underwent thoracoscopic surgery in our hospital were selected as the objects,using computer generated random number,the object of study were divided into the control group （41 patients） and the experimental group（40 patients）.The control group was given conventional thoraeoscopic anesthesia,the experimental group was treated with non-tracheal intubation anesthesia.The anesthesia effect,operative success rate,the incidence rate of postoperative complication and the rate of recovery after surgery were compared between the two groups.Results There was no significant difference between the two groups in the levels of HR,MAP and SpO2,as well as the success rate of operationr （P〉0.05）.The incidence rate of drug reactions caused by anesthesia in the experimental group was significantly lower than that in the control group,with significant difference （P〈0.05）.There was no significant difference in the incidence rate of postoperative complications between the two groups （P〉0.05）.The satisfaction degree of patients in the experimental group was significantly higher than that in the control group,with significant difference （P〈0.05）.The activity time of down ground after operation and the time of eating after operation in the experimental group was significantly shorter than that in the control group,with significant difference （P〈0.05）.Conclusion In thoracoscopic surgery,the way of non-tracheal intubation can significantly reduce the adverse reactions caused by anesthesia,accelerate postoperative rehabilitation,has a good clinical value.