连续气管导管套囊内压测定用于颅脑损伤手术  

Continuous endortracheal cuff pressure determination in patients of craniocerebral injury.

作　　者：游志坚[1] 徐红霞[1] 陈利民[1] 王浩[2] 

机构地区：[1]广州军区武汉总医院麻醉科,武汉430070 [2]武汉市第一医院骨科

出　　处：《华中医学杂志》2004年第5期290-291,共2页Central China Medical Journal

摘　　要：目的　观察连续套囊内压 (ECP)监测在颅脑损伤手术中的作用。方法　 2 4例颅脑损伤者全部采用气管插管全麻 ,随机分两组 :A组插管完毕后向套囊内注入空气 ,以手指触摸法判断ECP ,使其达到自己满意的压力 ,然后以多功能监护仪连续监测ECP ;B组插管完毕后在多功能监测仪的指导下注入气体 ,使ECP为 2 0mmHg ,并连续测定ECP ,记录A组患者初始注气后测得的ECP及两组患者手术开始 1h、手术 2h、手术结束时及拔气管导管前等各时点的ECP。结果　A组气管插管充气后测得ECP明显高于B组 (P <0 .0 1) ;随着带管时间的延长 ,两组ECP值上升均不明显 (P >0 .0 5 ) ;两组患者在呛咳时ECP均较其基础值明显升高 (P <0 .0 1) ,且A组升高幅度明显大于B组 (P <0 .0 1)。结论　连续ECP监测可减少在气管插管时的气管损伤 。Objective To observe the effects of continuous endortracheal cuff pressure determination in patients with craniocerebral injury. Methods Twenty-four patients with craniocerebral injury were divided into two groups randomly: group A ( n =12) with endortracheal cuff pressure determined by finger as control group and group B ( n =12) with endortracheal cuff pressure determined by Datex-Engstrom monitor. Results Compared with group A, the endortracheal cuff pressure was increased significantly in group B ( P < 0.01) after inflation and when the patients were coughing. Conclusion Endortracheal cuff pressure determination is important for patients with craniocerebral injury to decrease the injury of trachea.

关 键 词：ECP 颅脑损伤 手术中 气管导管 气管插管 患者 连续监测 手指 

分 类 号：R614[医药卫生—麻醉学]