双腔气管插管手术患者麻醉复苏期气道管理对患者呼吸及血流动力学的影响

Effects on Respiratory and Hemodynamic Through Airway Management of Patients with Two-lumen Endotracheal Intubation

目的:探讨双腔气管插管手术患者麻醉复苏期的气道管理对患者术后呼吸及血流动力学的影响。方法:123例行双腔气管插管手术患者,手术中,对患者进行全麻,观察患者在麻醉复苏期血氧饱和度、心律、呼吸、平均动脉压的变化情况。结果:患者术前、手术结束时、拔管前、拔管时、拔管后5min和拔管后10min平均动脉压分别为(112.4±15.6)mmHg、(101.2±13.4)mmHg、(125.4±16.7)mmHg、(110.4±15.2)mmHg、(98.8±16.4)mmHg和(102.1±16.4)mmHg,拔管前显著增高,而拔管后5min显著降低(P<0.05),拔管后10min大致恢复正常水平;患者在手术结束时,患者的血氧饱和度、心律、呼吸与术前对比,差异无有统计学意义(P>0.05);在拔管前、拔管时,和把管后5min患者的心律和呼吸与术前对比差异有统计学意义(P<0.05);在拔管后10min时,患者的心律、呼吸基本恢复,与手术前对比,数据差异不具有统计学意义(P>0.05)。结论:加强双腔气管插管手术患者麻醉复苏期气道管理对稳定患者呼吸及循环系统具有积极意义。

Objective:To discuss the airway management of patients with double lumen endotracheal intubation during anesthesia recovery period.Methods:123 subjects received tracheal intubation were included in this work.The SO2,HR,breathing,BP changes in the period of recovey were detected.Results:The mean arterial pressure was significant increased before extubation(P<0.05)and decreased 5min after extubation(P<0.05).At the end of the operation,the patient's blood oxygen saturation,heart rhythm,breathing,were not statistical different compared to preoperative(P>0.05).At the time point of before extubation,extubation,the patient's heart rhythm,breathing were statistical different compared to preoperative(P<0.05).Conclusion:Strengthen airway management in patients undergoing double lumen endotracheal intubation during anesthesia recovery period is of significance to the stability of respiratory and circulatory system.