气管导管置入深度对支气管封堵器用于单肺通气效果的影响观察

Effect of the insertion depth of tracheal catheter on one-lung ventilation with bronchial occluder

目的研究气管导管置入深度对支气管封堵器用于单肺通气效果的影响。方法选取2010年5月—2017年5月在我院行胸科手术的患者60例作为研究对象,随机平均分为A、B 2组,A组男、女插管深度分别为23 cm、19 cm,B组男、女插管深度分别为25 cm、21 cm,比较气管导管置入深度对支气管封堵器用于胸科手术患者单肺通气效果的影响。结果 2组患者接受不同气管导管置入深度后,其症状、疗效差异显著,男性置入深度为23 cm、女性置入深度为21 cm的临床效果最佳,具有统计学意义(P<0.05)。结论气管导管置入深度差异可显著影响支气管封堵器用于单肺通气的效果,需根据患者具体情况选择合适的深度,以降低不良反应,改善临床症状。

Objective To study the effect of the insertion depth of trachea catheter on one-lung ventilation efficacy in the patients undergoing thoracic surgery with bronchial occluder. Methods 60 patients received chest surgery were selected in our hospital from May 2010 to May 2017 and divided into two groups（group A and B）randomly. The depth of insertion was 23 cm for male and 19 cm for female in group A and 25 cm for male and 21 cm for female in group B,respectively. After the patients undergoing thoracic surgery with bronchial occluder,the effect of the insertion depth of trachea catheter on one-lung ventilation efficacy was compared. Results After the patients received different depth of tracheal catheter implantation,the insertion depth of 23 cm for male and 19 cm for female performed the best clinical effect,with significantly differences（P〈0.05）.Conclusion The insertion depth of trachea catheter has a good influence on one-lung ventilation efficacy in the patients with bronchial occluder.The right insertion depth should be based on the patients’ specific situation and can reduce adverse reactions and improve clinical symptoms.