摘要
目的:通过监测喉癌病人气管造口术前后sPO_2变化,探讨加强该过程中呼吸管理的重要性。方法:40例喉癌病人行根治术,ASA2～3级,随机均分为面罩吸氧组(A组),非吸氧组(B组,对照组),分别监测造口前、造口中、造口后30s及1、3、5minECG、HR、BP、sPO_2的变化。结果:A、B组病人造口前sPO_2升至99％～100％,个别患者置管后sPO_2略有下降,经辅助呼吸后改善。而B组sPO_2在造口中已降低,置入气管导管后sPO_2进一步降低(P<0.05)与A组比较两者相差显著(P<0.01)。结论:喉癌病人在行气管造口术中若不行吸氧,有缺氧问题存在,应加强呼吸管理。
Objective:To investigate the importance of the respiration management during tracheostomy.Methods:40 laryngeal carcinoma patients scheduled for elective radical surgery with ASA Ⅱ ~ Ⅲ were randomly divided into A ( oxygen inhaling) group and B (control) group to monitor the changes of ECG,HR,BP and sPQ; before tracheostomy,during tracheostomy and 30s and 1、3、5min after tracheostomy. Results: sPO2 of group B is lower than that of group A during tracheostomy ( P < 0.05) and after putting the duct in tracheal tube ( P < 0.01) . There were significant differences between two groups. Conclusion: Laryngeal carcinoma patients may suffer from hypoxia if they are not given inhalation of oxygen during tracheostomy. So the respiration management must be strengthened.
出处
《医学理论与实践》
2003年第3期265-266,共2页
The Journal of Medical Theory and Practice
