经食道超声心动图在胸外科手术患者麻醉管理中的应用效果

Effect of Transesophageal Echocardiography in Anesthesia Management of Thoracic Surgery Patients

目的探讨经食道超声心动图在胸外科手术患者中的麻醉管理效果。方法选取2021年1月—2022年10月在重庆市开州区人民医院进行手术治疗的50例患者作为研究对象,所有患者按照随机数字表法分为对照组和观察组各25例,在麻醉过程中对照组实施心电监护仪监测,观察组在对照组基础上加用经食道超声心动图。观察并比较两组血管活性物质使用情况,以及不同时间点平均动脉压和心率。结果观察组血管活性物质使用率高于对照组,差异有统计学意义(P<0.05)。观察组不同时间点平均动脉压和心率差异无统计学意义(P>0.05)。对照组不同时间点平均动脉压和心率差异有统计学意义(P<0.05)。麻醉诱导前两组平均动脉压和心率差异无统计学意义(P>0.05)。手术开始前和出手术室时两组间平均动脉压和心率差异有统计学意义(P<0.05)。结论经食道超声心动图用于胸外科手术患者的麻醉管理,更有利于维持患者血流动力学稳定性,值得推广使用。

Objective To explore the effect of anesthesia management of transesophageal echocardiography in patients undergoing thoracic surgery.Methods A total of 50 patients who underwent surgical treatment in the People's Hospital of Kaizhou District,CQ from January 2021 to October 2022 were selected as the study subjects.All patients were divided into the control group and the observation group according to the random number table method,with 25 patients in each group.During the anesthesia process,the control group was monitored by ECG monitor,and the observation group was added with transesophageal echocardiography on the basis of the control group.The use of vasoactive substances,mean arterial pressure and heart rate at different time points were observed and compared between the two groups.Results The use rate of vasoactive substances in the observation group was significantly higher than that in the control group(P<0.05).There was no significant difference in mean arterial pressure and heart rate at different time points in the observation group(P>0.05).The mean arterial pressure and heart rate of the control group at different time points were significantly different(P<0.05).There was no significant difference in mean arterial pressure and heart rate between the two groups before anesthesia induction(P>0.05).There was significant diference in mean arterial pressure and heart rate between the two groups before and after surgery(P<0.05).Conclusion The use of transesophageal echocardiography in the anesthesia management of patients undergoing thoracic surgery is more conducive to maintainthe hemodynamic stability of patients,and is worth promoting.