单腔气管插管全身麻醉应用于二氧化碳气胸胸腔镜食管癌根治术的麻醉效果观察

Study on the effect of general anaesthesia of single cavity tracheal intubation in carbon dioxide pneumothorax and thoracoscopic radical resection of esophageal carcinoma

目的探讨二氧化碳(CO2)气胸胸腔镜食管癌根治术中使用单腔气管插管全身麻醉的麻醉效果。方法选选择2016年2月-2018年5月在本院择期行胸腔镜食管癌根治术治疗患者80例。按随机数字表法分为两组,A组40例行单腔气管插管全麻,B组40例行双腔气管插管全麻。记录两组导管定位时间、插管1次成功、气管黏膜与咽喉受损情况、不同时间内SpO2、PETCO2、Paw、PaCO2情况,并进行对比分析。结果与B组相比,A组插管1次成功率较高,导管定位时间、气管黏膜与咽喉受损率较低,差异有统计学意义(P<0.05);与B组相比,A组T2时SpO2、PETCO2、Paw、PaCO2较高,差异有统计学意义(P<0.05)。结论单腔气管插管全麻可缩短导管定位时间,提高插管成功率,降低气管黏膜与咽喉受损率,患者血流动力学有所波动,但基本稳定。

Objective To investigate the general anesthesia effect of a single trachea intubation in the radical treatment of pneumothorax esophageal carcinoma with carbon dioxide(CO2). Methods 80 patients with thoracoscopic esophageal carcinoma were treated by radical operation in our hospital from February 2016 to May 2018. According to the random number table method, it is divided into two groups. The group A has 40 single-cavity tracheal intubation and the group B has 40 double-cavity tracheal intubation. Two groups of catheter positioning time, 1 successful intubation, tracheal mucosa and larynx damage, SpO2, PETCO2, Paw, Pa CO2 at different times were recorded and compared. Results Compared with the group B, the group A had a higher success rate of intubation once, and lower damage rate of catheter positioning time, tracheal mucosa and throat, and the difference was statistically significant(P< UNK>0.05). Compared with the group B, SpO2, PETCO2, Paw, and Pa CO2 of the group A at T2 were higher and the difference was statistically significant(P< UNK> 0.05). Conclusion Single-cavity tracheal intubation with general anesthesia can shorten the time of catheter positioning, improve the success rate of intubation, and reduce the rate of tracheal mucosa and larynx damage. The hemodynamics of patients fluctuates, but they are basically stable.