摘要
目的:分析全麻下气道气管插管中应用超滑涂层气管导管对患者生命体征平稳性的影响,为麻醉科工作提供参考。方法:选择2019年4月~2020年4月本院收治的实施全麻插管患者80例。以1:1比例法分为观察组、对照组,观察组(n=40)患者采取超滑气管导管,对照组(n=40)患者采取通气管导管。伦理委员会审核批准,比较2组全麻患者不同时间(诱导前T0、插管即刻前T1、插管后即刻T2、插管1min T3、插管3min T4、插管5min T5、自主呼吸恢复后T6)生命体征情况、插管时间以及拔管后主诉咽痛率。结果:生命体征方面,观察组患者T2、T3、T6时收缩压及舒张压、平均动脉压与对照组比较更为平稳,T2、T3、T4心率与对照组比较平稳,P<0.05;组间插管时间比较,观察组用时明显短于对照组,P<0.05;组间术后咽痛主诉发生率比较,观察组主诉咽痛率2.50%低于对照组,P<0.05。结论:超滑涂层气管导管用于全麻下气道气管插管中有助于稳定患者生命体征、缩短插管时间,提升患者的安全性。
Objective:To analyze the effect of the application of ultra-smooth coating endotracheal tube on the stability of vital signs in patients with airway endotracheal intubation under general anesthesia,so as to provide reference for the work of anesthesiology department.Methods:We selected 80 patients who were intubated under general anesthesia from April 2019 to April 2020 in our hospital.The observation group and the control group were divided into groups according to the 1:1 ratio.Patients in the observation group(n=40)were given ultra-smooth endotracheal catheters,and patients in the control group(n=40)were given ventilatory catheters.The ethics committee reviewed and approved the comparison between the two groups of general anesthesia patients at different times(T0 before induction,T1 immediately before intubation,T2 immediately after intubation,1min T3 for intubation,3min T4 for intubation,5min T5 for intubation,T6 after spontaneous breathing recovery)vital signs,intubation time,and rate of complaints of sore throat after extubation.Results:In terms of vital signs,systolic blood pressure(SBP),diastolic blood pressure(DBP),and mean arterial pressure(MAP)at T2,T3,and T6 in the observation group were more significant than those in the control group.T2,T3,T4 HR was relatively stable compared with the control group,P<0.05;Comparison of the intubation time between the groups,the observation group took significantly shorter time than the control group,P<0.05;Compared the incidence of chief complaints of pharyngeal pain among groups,the incidence of chief complaints of pharyngeal pain in the observation group was 2.50%lower than that in the control group(P<0.05).Conclusion:The use of ultra-smooth coated endotracheal tube for tracheal intubation under general anesthesia helps stabilize the patient’s vital signs,shorten the intubation time,and improve the safety of the patient.
作者
张伟
ZHANG Wei(Department of Anesthesiology,Donggang Central Hospital,Liaoning Donggang 118300)
出处
《中国医疗器械信息》
2022年第21期132-134,共3页
China Medical Device Information
关键词
超滑气管导管
通气管导管
全麻
生命体征
插管时间
咽痛
ultra-smooth tracheal catheter
ventilatory catheter
general anesthesia
vital signs
intubation time
sore throat