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手法肺复张对行胸腔镜肺叶切除术老年患者麻醉苏醒期低氧血症及肺部并发症的影响 被引量:7

Effects of manual lung recruitment on hypoxemia and pulmonary complications during anesthesia recovery in elderly patients undergoing thoracoscopic lobectomy
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摘要 目的探讨术后手法肺复张对预防苏醒期低氧血症和术后肺部并发症的有效性及安全性。方法选取我院2019年5月-2019年12月择期行胸腔镜肺叶切除的老年患者110例,随机分为手法肺复张组(54例)和常规机械通气组(56例)。手法肺复张组患者在转入麻醉苏醒室后,在常规机械通气下间歇给予3次手法肺复张训练。对照组给予常规机械通气。记录两组拔管时间、PACU停留时间、麻醉苏醒期低氧血症发生率、胸腔闭式引流管留置时间、术后三天肺部并发症及住院天数。结果实施手法肺复张组在苏醒期低氧血症发生率和术后3天肺部并发症发生率上均低于常规组(P<0.05)。结论麻醉苏醒早期行手法肺复张可以改善苏醒期低氧血症,减少术后肺不张等肺部并发症的发生。 Objective To investigate the efficacy and safety of postoperative manipulative lung recruitment in the prevention of hypoxemia during recovery and postoperative pulmonary complications.Methods A total of 110 elderly patients who underwent elective thoracoscopic lobectomy in our hospital from May 2019 to December 2019 were selected and randomly divided into two groups:manual lung recruitment group(54 cases)and conventional mechanical ventilation group(56 cases).After being transferred to the anesthesia recovery room,patients in the manualrecruitment group were given 3 times of manual training intermittently under conventional mechanical ventilation.The control group was given routine mechanical ventilation.The extubation time,PACU stay time,the incidence of hypoxemia during anesthesia recovery,the indwelling time of thoracic closed drainage tube,postoperative pulmonary complications 3 days after the operation,and the length of hospital stay were recorded in both groups.Results The incidence of hypoxemia during the recovery period and pulmonary complications 3 days after operation in the manualrecruitment group were lower than in the conventional group(P<0.05).Conclusion Manipulative pulmonary recruitment in the early stage of anesthesia recovery can improve hypoxemia in the recovery period and reduce the incidence of postoperative pulmonary complications such as atelectasis.
作者 唐雪姣 殷小容 TANG Xue-jiao;YIN Xiao-rong(Department of Anesthesiology,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China)
出处 《临床肺科杂志》 2022年第5期672-675,共4页 Journal of Clinical Pulmonary Medicine
关键词 肺复张 低氧血症 肺部并发症 pulmonary recruitment hypoxemia pulmonary complications
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