国际医药卫生导报2017，Vol.23Issue(24)：3848-3850,3.DOI:10.3760/cma.j.issn.1007-1245.2017.24.008
不同体位联合气管导管斜面盲探置入支气管堵塞器在单肺通气中的临床研究
Clinical study on the effect of different position combined with tracheal catheter oblique plane in the blind insertion of bronchial blocker on one-lung ventilation
摘要
Abstract
Objective To investigate the effect of different position combined with guidance of tracheal catheter oblique plane opening on the blind insertion of bronchial blocker.Methods 30 children and 30 adults scheduled for thoracotomy were chosen from our hospital,both the children group and adult group were randomly subdivided into three groups.The patients in Group A were intubated in the supine position on the random catheter oblique plane,and then were inserted the bronchial blocker blindly;the patients in Group B were intubated in the supine position on the catheter oblique plane toward the sealing side,and then were inserted the bronchial blocker (both Group A and Group B were placed in the lateral position after the insertion of bronchial blocker);the patients in Group C were intubated in the supine position on the catheter oblique plane toward the sealing side,were placed in the lateral position,and then were inserted the bronchial blocker.The one-time success rate of bronchial blocker insertion,the total time of occlusion,the incidence of hypoxemia during the insertion,the incidence of postoperative airway edema in the three groups were recorded.Results In the children group,the one-time success rate of bronchial blocker insertion in Group C was significantly higher than those in Group A and Group B (P＜0.05);in the adult group,the one-time success rate of bronchial blocker insertion in Group B and Group C were significantly higher than that in Group A (P＜0.05).The total time of occlusion in Group B and Group C were shorter than that in Group A in both the children group and adult group (P＜0.05).In both the children group and adult group,the incidences of airway edema and hypoxemia in Group C were significantly lower than those in Group A (P＜0.05),but without statistically significant differences between Group B and Group A (P＞0.05).Conclusion By adjusting the position and using guidance of tracheal catheter oblique plane opening,the success rate and the rate of insertion can be effectively improved,and the complications of intubation can be reduced,which is worthy of clinical popularization.关键词
体位/导管斜面/盲探/支气管堵塞器/单肺通气Key words
Position/Tracheal catheter oblique plane/Blind exploration/Bronchial blocker/One-lung ventilation引用本文复制引用
杨俊华,黄俊杰,林凤琼,邢镝,杜转弟,卢晓青,熊吉翎..不同体位联合气管导管斜面盲探置入支气管堵塞器在单肺通气中的临床研究[J].国际医药卫生导报,2017,23(24):3848-3850,3.基金项目
东莞市科技计划医疗卫生类科研一般项目(2015105101072).Medical Treatment and Public Health Science and Technology Planning Project of Dongguan City (2015105101072) （2015105101072）
