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| 最低有效气管导管套囊压用于女性患者气管插管全麻腹腔镜手术的临床研究 | |
| 引用本文： | 谭宗池,黄山鉴,谢新美,劳贵昌,谢寒冰,陈梅颜,韦良鹏,张兴.最低有效气管导管套囊压用于女性患者气管插管全麻腹腔镜手术的临床研究[J].广西医学,2015(2):178-181. |
| 作者姓名： | 谭宗池 黄山鉴 谢新美 劳贵昌 谢寒冰 陈梅颜 韦良鹏 张兴 |
| 作者单位： | 1. 广西医科大学第十附属医院暨钦州市第一人民医院麻醉科,钦州市,535099 2. 广西医科大学第十附属医院暨钦州市第一人民医院药剂科,钦州市,535099 3. 广西医科大学第十附属医院暨钦州市第一人民医院普外科,钦州市,535099 4. 广西医科大学第十附属医院暨钦州市第一人民医院骨科,钦州市,535099 5. 广西医科大学第十附属医院暨钦州市第一人民医院耳鼻喉科,钦州市,535099 6. 广西医科大学第十附属医院暨钦州市第一人民医院肿瘤科,钦州市,535099 |
| 基金项目： | 广西钦州市科学研究与技术开发计划项目 |
| 摘 要： | 目的观察最低有效套囊压用于气管插管全麻腹腔镜手术的临床效果及安全性。方法择期行气管插管全麻腹腔镜手术的女性患者60例,按随机数字表法分为对照组和试验组,各30例,对照组应用手指感觉法给气管导管套囊充气,试验组应用最低有效套囊压法给套囊充气。记录两组患者套囊压;术毕拔除气管导管时行纤维支气管镜检查,观察气管黏膜损伤情况;记录拔除气管导管后套囊有无血迹及拔管后24 h内咽喉疼痛和声音嘶哑等气管插管相关并发症的发生情况。结果试验组患者套囊压为(9.07±5.38)cm H2O,明显低于对照组的(32.40±5.16)cm H2O(P<0.05);两组患者拔除气管导管后均未发生套囊血迹和声音嘶哑;两组患者拔除气管导管后24 h内咽喉疼痛发生率比较,差异无统计学意义(P>0.05);试验组气管黏膜散在点状充血发生率明显高于对照组(P<0.05),但局部片状充血发生率明显低于对照组(P<0.05)。结论最低有效气管导管套囊压用于气管插管全麻腹腔镜手术的女性患者临床效果好,对气管黏膜损伤小。 |
| 关 键 词： | 气管内插管 全身麻醉 最低有效气管导管套囊压 腹腔镜 女性 |
Clinical study of minimum effective tracheal cuff pressure applied to laparoscopic surgery with general anesthesia and tracheal intubation in female patients |
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| TAN Zong-chi,HUANG Shan-jian,XIE Xin-mei,LAO Gui-chang,XIE Han-bing,CHEN Mei-yan,WEI Liang-peng,ZHANG Xing.Clinical study of minimum effective tracheal cuff pressure applied to laparoscopic surgery with general anesthesia and tracheal intubation in female patients[J].Guangxi Medical Journal,2015(2):178-181. | |
| Authors: | TAN Zong-chi HUANG Shan-jian XIE Xin-mei LAO Gui-chang XIE Han-bing CHEN Mei-yan WEI Liang-peng ZHANG Xing |
| Institution: | TAN Zong-chi;HUANG Shan-jian;XIE Xin-mei;LAO Gui-chang;XIE Han-bing;CHEN Mei-yan;WEI Liang-peng;ZHANG Xing;Department of Anesthesiology,the First People’s Hospital of Qinzhou City,the Tenth Affiliated Hospital of Guangxi Medical University;Department of Pharmacy,the First People’s Hospital of Qinzhou City,the Tenth Affiliated Hospital of Guangxi Medical University;Department of General Surgery,the First People’s Hospital of Qinzhou City,the Tenth Affiliated Hospital of Guangxi Medical University;Department of Orthopedics,the First People’s Hospital of Qinzhou City,the Tenth Affiliated Hospital of Guangxi Medical University;Department of Otorhinolaryngology,the First People’s Hospital of Qinzhou City,the Tenth Affiliated Hospital of Guangxi Medical University;Department of Oncology,the First People’s Hospital of Qinzhou City,the Tenth Affiliated Hospital of Guangxi Medical University; |
| Abstract: | |
| Keywords: | Endotracheal intubation General anesthesia Minimum effective tracheal cuff pressure Laparoscope Female |
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