纤维支气管镜定位下双腔支气管插管在老年肺部手术患者中的麻醉效果

Anesthesia effect of double-lumen bronchial intubation under fiberoptic bronchoscopy in elderly patients undergoing pulmonary surgery

目的研究纤维支气管镜定位下双腔支气管插管在老年肺部手术麻醉患者中的应用效果。方法将我院收治的60例老年肺部手术麻醉患者按照随机数字表法分为参照组(30例,实施传统听诊法插管)与试验组(30例,给予纤维支气管镜定位下双腔支气管插管)。比较两组患者的低氧血症发生率、插管前后的HR、MAP、E、NE水平、定位时间、置管时间及插管时间。结果试验组患者的低氧血症发生率为0.00%(0/30),低于参照组的13.33%(4/30),但差异无统计学意义(P>0.05);插管后,两组患者的HR、MAP、E、NE水平均升高,但试验组低于参照组(P<0.05)。试验组患者的定位时间、插管时间短于参照组,置管时间长于参照组(P<0.05)。结论纤维支气管镜定位下双腔支气管插管在老年肺部手术麻醉患者中的应用效果显著,值得临床推广。

Objective To study the application effect of double-lumen bronchial intubation under fiberoptic bronchoscopy in elderly patients with anesthesia of pulmonary surgery. Methods Sixty elderly patients with anesthesia of pulmonary surgery admitted in our hospital were divided into reference group(n =30, given intubation by traditional auscultation) and experimental group(n=30, given double-lumen bronchial intubation under fiberoptic bronchoscopy) according to random number table method. The incidences of hypoxemia, HR, MAP, levels of E, NE before and after intubation, positioning time,indwelling time and intubation time were compared between the two groups. Results The incidence of hypoxemia in the experimental group was 0.00%(0/30), which was lower than 13.33%(4/30) in the reference group, but the difference wasn’t statistically significant(P>0.05). After intubation, the HR, MAP, levels of E and NE in both groups increased, but those in the experimental group were lower than the reference group(P <0.05). The positioning time and indwelling time of the experimental group were shorter than those of the reference group, and the intubation time was longer than that of the reference group(P<0.05). Conclusion Double-lumen bronchial intubation under fiberoptic bronchoscopy in elderly patients with anesthesia of pulmonary surgery has significant effect, which is worthy of clinical promotion.