| 气管导管套囊压力与患者气道黏膜损伤程度的关系 |
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| 引用本文： | 孙霞,陈家伟,尹华,谭志明. 气管导管套囊压力与患者气道黏膜损伤程度的关系[J]. 中国临床医学, 2011, 18(5): 688-689 |
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| 作者姓名： | 孙霞 陈家伟 尹华 谭志明 |
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| 作者单位： | 复旦大学附属肿瘤医院麻醉科,上海,200032 |
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| 摘 要： | 目的：探讨气管导管套囊压力的变化对患者气道黏膜损伤程度的影响。方法：择期行妇科肿瘤手术患者共80例，年龄18-65岁，身高155～165cm，体质量指数（BMI）18-23kg／秆，美国麻醉医师协会（ASA）分级为I～II级，随机分为2组：持续压力组（A组）和压力变化组（B组），每组40例。A组气管插管后维持气管导管套囊压力于25mmHg直至手术结束。B组气管插管后维持气管导管套囊压力于25mmHg，每隔1h套囊放气至10mmHg压力，维持10min后，再次充气至25mmHg。拔管后记录气管导管套囊有无带血，患者有无咽喉痛、刺激性咳嗽、气道痉挛及发声困难。结果：2组患者术后各项气道并发症发生率的差异均无统计学意义（P〉0．05）。结论：全麻过程中气管导管套囊间断放气不能减轻气管黏膜的损伤，也不会减少咽喉部并发症的发生率。
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| 关 键 词： | 套囊压力 气管黏膜 咽痛 发声困难 |
Effects of Tracheal Cuff Pressure on Tracheal Mucosal Damage in Patients with Intubation |
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| SUN Xia,CHEN Jiawei,YIN Hua,TAN Zhiming. Effects of Tracheal Cuff Pressure on Tracheal Mucosal Damage in Patients with Intubation[J]. Chinese Journal Of Clinical Medicine, 2011, 18(5): 688-689 |
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| Authors: | SUN Xia CHEN Jiawei YIN Hua TAN Zhiming |
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| Affiliation: | SUN Xia CHEN Jiawei YIN Hua TAN Zhiming Department of Anaesthesiology,Cancer Hspital,Fudan University,Shanghai 200032,China |
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| Abstract: | Objective:To investigate the effects of tracheal cuff pressure on tracheal mucosal damage in patients with intubation.Methods: We obtained informed consent from 80 American Society of Anesthesiologists(ASA) class I or II,body mass index(BMI) 18-23 kg/m2,18-65 year-old patients,who were scheduled for radical treatment of gynaecological cancer.They were randomly allocated to either Group A or Group B.Patients in both groups were placed an epidural catheter at vertebral interspace between T11 and T12.General a... |
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| Keywords: | Cuff pressure Tracheal mucosa Sore throat Dysphonia |
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